Individual
ABBIE LYNN MAIKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 258-0457
Mailing address
4055 ROLLING MEADOW LN, YPSILANTI, MI 48197-6619
(269) 352-5963
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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