Individual
MONIQUE L MACKLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11507 SOUTH 42ND STREET, SUITE 101, BELLEVUE, NE 68123
(402) 955-7600
Mailing address
2500 CALIFORNIA PLAZA, OMAHA, NE 68178
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20076
NE
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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