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Individual

GAIL K MAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
45640 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-6033
(586) 247-4300
(586) 532-6496
Mailing address
45640 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-6033
(586) 247-4300
(586) 532-6496

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704150655
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704150655
NURSE PRACTITIONER
MI
Enumeration date
12/13/2006
Last updated
10/27/2015
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