Individual
MICHAEL SCOTT MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 OAK ST, KALAMAZOO, MI 49008-1342
(269) 921-0599
Mailing address
1209 OAK ST, KALAMAZOO, MI 49008-1342
(269) 921-0599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704274656
MI
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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