SearchMichigan363LP2300X

Ilona Maxon, ANP-B.C

NPI 1861650921 · on the registry since 2008

Practice

Address
4201 Saint Antoine St
Uhc-4a
Detroit, MI 48201
Phone
(313) 745-4872
Fax
(313) 745-0937
Organisation at this address
Walgreen Co
Family Service
Vhs Of Michigan
Ahmed Sawah Md Pc
Rehab Alliance Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
803

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-05-27

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