Individual
DR. LISA DAWN MASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE, STE. 4150, GRAND RAPIDS, MI 49503-2514
(616) 267-2600
(616) 267-2601
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
4301085936
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
A112336
CA
Other
Enumeration date
05/22/2007
Last updated
10/04/2023
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