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Individual
JACQUELINE K MACKNIS
Active
Individual
JACQUELINE K MACKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
4301067705
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301067705
MI
Other
Enumeration date
03/24/2006
Last updated
06/15/2011
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