Individual
JAMES P MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 N WABASH AVE STE 110, MARION, IN 46952-2677
(765) 664-1201
Mailing address
330 N WABASH AVE STE 110, MARION, IN 46952-2677
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01065861A
IN
207UN0901X
Nuclear Cardiology Physician
01065861A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200914650
—
IN
Enumeration date
01/04/2006
Last updated
07/19/2022
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