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1760466056
MICHAEL M MAKEDONSKY
GRAND RAPIDS, MI
NPI
1760466056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MI 000656)
Enumeration Date
2005-12-01
Last Update Date
2011-10-03
Business Address
MICHAEL M MAKEDONSKY PHD
3501 LAKE EASTBROOK BLVD SE SUITE 222
GRAND RAPIDS, MI 49546-5940
Phone number: 616-957-0730
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Mailing Address
MICHAEL M MAKEDONSKY PHD
PO BOX 1767
GRAND RAPIDS, MI 49501-1767
Phone number: 616-235-2090
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