Individual
ANDREW BLAINE MACKERSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 351-4905
(517) 351-4820
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01053750A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
4301086690
MI
Other
Enumeration date
04/27/2006
Last updated
02/15/2010
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