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Individual

JOHN G MAKRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301061231
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300119326
RR MEDICARE #
MI
01
3008283582
BCBS PIN #
MI
05
4185173
MI
01
CB6220
MEDICARE RAILROAD GROUP
MI
Enumeration date
07/24/2006
Last updated
10/06/2022
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