Organization
MICHAEL B MACQUARRIE MD INC
Active
Organization
MICHAEL B MACQUARRIE MD INC
Active
Other names
North Tahoe Emergency Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B MACQUARRIE M.D. (M.D./OWNER)
(530) 582-3140
Entity
Organization
Contact information
Practice address
880 ALDER AVE, INCLINE VILLAGE, NV 89451-8335
(530) 582-3220
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2666
(510) 879-9061
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G23578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090630
—
CA
Enumeration date
03/16/2006
Last updated
03/19/2014
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