| Yvonne Makidon Pllc | |
|
8240 Embury Rd Ste A Grand Blanc MI 48439-7113 | |
| (810) 659-7242 | |
| Not Available |
| Full Name | Yvonne Makidon Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8240 Embury Rd Ste A, Grand Blanc, Michigan |
| Authorized Official Name and Position | Yvonne Pearl Makidon (OWNER/THERAPIST) |
| Authorized Official Contact | 8106597242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne Makidon Pllc 3176 Perry Ct Grand Blanc MI 48439-8151 Ph: (810) 659-7242 | Yvonne Makidon Pllc 8240 Embury Rd Ste A Grand Blanc MI 48439-7113 Ph: (810) 659-7242 |
| NPI Number | 1770042921 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 03/18/2019 |
| Medicare PECOS PAC ID | 4385057868 |
|---|---|
| Medicare Enrollment ID | O20201229002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770042921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Yvonne Makidon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720204183 PECOS PAC ID: 2567506868 Enrollment ID: I20100225000017 |
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