Individual
MAXIMILIANO ANDRES TAMAE KAKAZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, SUITE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
(616) 267-7272
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-5452
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301102382
MI
207RP1001X
Pulmonary Disease Physician
4301102382
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301102382
MI
Other
Enumeration date
01/16/2009
Last updated
05/20/2024
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