Individual
WARREN L MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 MEDIC WAY, GREENCASTLE, IN 46135
(765) 653-2626
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100325340
—
IN
Enumeration date
11/22/2005
Last updated
03/31/2021
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