Individual
DR. DEBORAH LYNN MACKERSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 CHARLEVOIX DR STE 200, GRAND LEDGE, MI 48837-8186
(517) 627-3030
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301091306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000017746
PHPMM
MI
01
—
4301091306
STATE LICENSE
MI
01
—
P00743149
RAILROAD MEDICARE
MI
Enumeration date
01/24/2006
Last updated
08/16/2023
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