# JOANN MACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679541783
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2000169335 | MO | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 06/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001013325 | MEDICARE | — |
| 01 | — | 131574 | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 1860598 | FIRST HEALTH | — |
| 05 | — | 205096803 | — | MO |
| 01 | — | 250012149 | RR MEDICARE | — |
| 01 | — | 441613 | HEALTHLINK | — |
| 01 | — | 6033757 | CIGNA | — |
| 01 | — | E55013 | MERCY | — |