Individual
DR. KEVIN JAMES MACCONNACHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101023603
MI
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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