Individual
DAVID B MACISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2000 CORPORATE DR, SUITE 100, WEXFORD, PA 15090-7611
(724) 940-9190
(724) 940-9195
Mailing address
2000 CORPORATE DR, SUITE 100, WEXFORD, PA 15090-7611
(724) 940-9190
(724) 940-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS012396
PA
Other
Enumeration date
07/07/2006
Last updated
02/12/2014
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