SearchMichigan103TC0700X

Michael Makedonsky, PHD

NPI 1760466056 · on the registry since 2005 · sole proprietor

Practice

Address
3501 Lake Eastbrook Blvd Se
Suite 222
Grand Rapids, MI 49546
Phone
(616) 957-0730
Fax
(616) 957-1057
Organisation at this address
Sean W Harrell
Dettmann Center
Megan Giroux, Llc
Rebecca Nelson Llc
Amelia Rodgers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-03

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