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Search › Michigan › 175T00000X

Alicia Maximuk

NPI 1417765736 · on the registry since 2024

Practice

Address
6309 Mack Ave
Detroit, MI 48207
Phone
(313) 629-0503
Organisation at this address
Sonny Pharmacy Llc
Gateway Detroiteast
Gateway Detroiteast
Gateway-Detroit East
Gateway Detroit East Community Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
179

Registry record

Primary taxonomy
175T00000X
175T00000X
Sex
Female
Record last updated
2024-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan