Individual
SUSAN M MAIXNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 936-4400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301061203
MI
2084P0805X
Geriatric Psychiatry Physician
Primary
4301061203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113254
—
MI
Enumeration date
11/15/2006
Last updated
11/20/2019
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