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Individual
DR. MICHELLE LEA MACY
Active
Individual
DR. MICHELLE LEA MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
4301079944
MI
208000000X
Pediatrics Physician
036.146506
IL
208000000X
Pediatrics Physician
4301079944
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036.146506
IL
Other
Enumeration date
04/02/2007
Last updated
04/12/2021
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