Kenneth Maiese MD

NPI 1093755571 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1093755571
Gender Male
Enumeration Date 06/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
UNIVERSITY HEALTH CENTER STE 8D
4201 ST ANTOINE
DETROIT MI, 48201, US
Phone (313) 745-4275
Fax
Business Location
3800 WOODWARD AVE
SUITE 702
DETROIT MI, 48201-2061, US
Phone
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Michigan
License Number 4301064448
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According to our database, Kenneth Maiese MD NPI is 1093755571, taxonomy code is 2084N0400X and license number is 4301064448, license state is located at Michigan. Kenneth Maiese MD physically located at University Health Center Ste 8d, Detroit MI, 48201. NPI Number Kenneth Maiese MD has the Individual type.

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1093755571 NPI number is provided on an as is basis without warranty of any kind. 1093755571 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Maiese MD are for informational purposes only.