Individual
DR. JOSEPH MICHAEL MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 WEST SECOND STREET, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Mailing address
1011 WEST SECOND STREET, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN11512
FL
207W00000X
Ophthalmology Physician
Primary
01069717A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201025280
—
IN
Enumeration date
06/29/2007
Last updated
03/21/2012
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