Organization
HEALTHY IMAGE SKIN AND BODY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MACAULEY MD (MEDICAL DIRECTOR)
(989) 345-3150
Entity
Organization
Contact information
Practice address
2492 I-75, WEST BRANCH, MI 48661
(989) 345-3150
Mailing address
611 COURT ST, PO BOX 428, WEST BRANCH, MI 48661-0428
(989) 516-4317
(989) 345-5803
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2007
Last updated
01/12/2010
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