Individual
MIKHAIL VLADIMIR MAKOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6719 S 211TH ST, SUITE 102, KENT, WA 98032
(253) 656-0223
(253) 872-7900
Mailing address
PO BOX 749958, LOS ANGELES, CA 90074-9958
(253) 656-0223
(253) 872-7900
Taxonomy
Speciality
Code
Description
License number
State
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
Primary
MD00039986
WA
Other
Enumeration date
02/01/2007
Last updated
08/24/2011
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