Individual
DR. ANDREW MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
(618) 457-0469
Mailing address
10625 W NORTH AVE STE 102, WAUWATOSA, WI 53226-2315
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.116376
IL
207P00000X
Emergency Medicine Physician
47744-020
WI
207P00000X
Emergency Medicine Physician
MD00046759
WA
207P00000X
Emergency Medicine Physician
N1385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770514861
—
MT
05
—
1770514861
—
WA
05
—
34755100
—
WI
Enumeration date
07/06/2006
Last updated
04/24/2020
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