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NPI Code Detail

MEDICARE: MAKK GROUP LLC

MEDICARE: MAKK GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1356040695
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAKK GROUP LLC
Provider Business Mailing Address
First Line : 53075 CHESTERFIELD RD
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48051-1675
Country : US
Telephone Number : 586-634-5213
Fax Number :
Provider Business Practice Location Address
First Line : 17901 HURON RIVER DR
Second Line :
City : NEW BOSTON
State : MI
Zip : 48164-3200
Country : US
Telephone Number : 586-634-5213
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL JAKUBIK
Credential : NP
Telephone Number : 586-634-5213
Provider Enumeration Date : 02/27/2023
Last Update Date : 02/27/2023

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Directions to “MAKK GROUP LLC ” Practice Location

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