Individual
JACQUELINE K MACKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6769
(248) 423-3144
Mailing address
3601 W 13 MILE RD, 400 FSC - PCS, ROYAL OAK, MI 48073-6769
(248) 898-5969
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
4301067705
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301067705
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220F349850
BCBSM
MI
05
—
4634690
—
MI
Enumeration date
03/24/2006
Last updated
06/15/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us