Individual
DR. JAMES R MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930
Mailing address
3988 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 935-0860
(231) 935-0930
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301050154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4159010
—
MI
Enumeration date
05/11/2006
Last updated
09/25/2024
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