MR. Gregory M Macisak

NPI #1275661951 in Saint Clair Shores, Michigan

Provider Information

NPI Number: 1275661951
Entity Type: Individual
Name: MR. Gregory M Macisak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Mar 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 25401 HARPER AVE
City: Saint Clair Shores
State: Michigan
ZIP Code: 48081-2240
Phone: (586) 466-6912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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