Individual
DR. BRIAN JON MACFALDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3939
Mailing address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101016375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013130053
—
MI
Enumeration date
04/10/2007
Last updated
10/08/2010
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