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Organization

DAVID R MACRAE, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID R MACRAE PH.D. (OWNER)
(616) 957-3168
Entity
Organization

Contact information

Practice address
2025 E BELTLINE AVE SE STE 104, GRAND RAPIDS, MI 49546-7673
(616) 957-3168
(616) 957-4033
Mailing address
2025 E BELTLINE AVE SE STE 104, GRAND RAPIDS, MI 49546-7673
(616) 957-3168
(616) 957-4033

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002310
MI

Other

Enumeration date
01/17/2008
Last updated
01/17/2008
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