Individual
MICHAEL J MACKSOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1121 W HILL RD, FLINT, MI 48507-4733
(810) 232-8888
(810) 232-9190
Mailing address
13286 LAKESIDE LNDG, FENTON, MI 48430-1130
(810) 232-8888
(810) 232-9190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101007895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086808
SELECTCARE
MI
01
—
204015
MCLAREN HEATLH PLAN
MI
01
—
3452508495
HEALTHPLUS OF MICHIGAN
MI
01
—
B444424
HAP
MI
01
—
C1662
MCARE
MI
Enumeration date
06/08/2006
Last updated
07/08/2007
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