Individual
DR. KATHLEEN M MAKSIMOWICZ-MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
(313) 916-2631
Mailing address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
(313) 916-2631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OS013023
PA
207RR0500X
Rheumatology Physician
Primary
5101014012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101007671
—
PA
Enumeration date
02/17/2006
Last updated
08/01/2014
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