Individual
RUTH A MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7002
(319) 369-8095
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7002
(319) 369-8095
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
25451
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090449
—
IA
Enumeration date
02/27/2006
Last updated
12/21/2007
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