Individual
JOHN C MAINO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 SMALLEY ST, JACKSON, MI 49203-3725
(517) 740-9087
Mailing address
2200 SMALLEY ST., JACKSON, MI 49203-3726
(517) 740-9087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301042724
MI
207P00000X
Emergency Medicine Physician
60303031
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104144967
—
MI
01
—
930095625
RR MEDIACRE
MI
Enumeration date
05/24/2006
Last updated
08/12/2024
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