Individual
DR. DAVID W MACOMBER
Active
Individual
DR. DAVID W MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41985
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00123
MEDICA PRIMARY
—
01
—
04-02892
MEDICA CHOICE
—
05
—
0539502
—
IA
01
—
1028590
PREFERREDONE
—
05
—
10387
—
ND
01
—
110A7MA
BLUE CROSS BLUE SHIELD
MN
01
—
128141
UCARE
—
01
—
1353467
ARAZ
—
05
—
34069000
—
WI
05
—
7777470
—
SD
05
—
826567400
—
MN
01
—
HP40352
HEALTHPARTNERS
—
Enumeration date
10/20/2006
Last updated
10/26/2012
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