Individual
MACKENZIE RAE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9415
(989) 453-2141
(989) 453-2559
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9415
(989) 453-2141
(989) 453-2559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006273
MI
Other
Enumeration date
12/22/2011
Last updated
08/07/2015
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