Maixner, Susan M

Maixner, Susan M is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is her primary health care specialty. Maixner, Susan M can be contacted via phone (734) 936-4400.

Contact Information

Primary practice address
4260 Plymouth Rd Ann Arbor MI 48109-2700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301061203 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301061203 Michigan

Profile Details

NPI number 1851463772
LBN Legal business name Maixner, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Nov 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851463772 NPPES
Michigan MEDICAID 4113254

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