Individual
DR. KATHERINE GRACE MACKILLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(508) 974-5803
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5151015293
MI
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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