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Organization

LAKE HURON OB GYN PLLC

Active
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Organization

LAKE HURON OB GYN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY BISCHER MACCHIARELLA D.O. (OWNER)
(989) 269-3923
Entity
Organization

Contact information

Practice address
1005 S VAN DYKE RD, BAD AXE, MI 48413-9614
(989) 269-3923
(989) 269-3983
Mailing address
1005 S VAN DYKE RD, BAD AXE, MI 48413-9614
(989) 269-3923
(989) 269-3983

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NK013377
MI

Other

Enumeration date
11/02/2006
Last updated
04/16/2021
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