Michael M Makedonsky, PHD
NPI #1760466056 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1760466056
- Entity Type
- Individual
- Name
- Michael M Makedonsky, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PHD
- Enumeration Date
- Dec 1, 2005
- Last Updated
- Oct 3, 2011
Practice Location
- Address
- 3501 LAKE EASTBROOK BLVD SE
- Address 2
- SUITE 222
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-5940
- Phone
- (616) 957-0730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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