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Individual
ELIZABETH MACKEY
Active
Individual
ELIZABETH MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101013017
MI
207Q00000X
Family Medicine Physician
5101013017
MI
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
5101013017
MI
2083X0100X
Occupational Medicine Physician
5101013017
MI
Other
Enumeration date
07/14/2006
Last updated
02/10/2020
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