Individual
DR. WILLIAM DAVID MACINNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4705 TOWNE CENTRE RD, STE 304, SAGINAW, MI 48604-2821
(989) 921-5100
(989) 921-5104
Mailing address
4705 TOWNE CENTRE RD, STE 304, SAGINAW, MI 48604-2821
(989) 921-5100
(989) 921-5104
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301008040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680G345240
BCBSM
MI
Enumeration date
08/10/2005
Last updated
11/22/2017
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