Search › Michigan › 103TC0700X
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, LlcInferred 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