Individual
ALEXANDER MACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2425 W WASHINGTON, SUITE B, GREENVILLE, MI 48838-8259
(616) 225-2325
(269) 372-2940
Mailing address
4761 LAKE MICHIGAN DR NW, SUITE A, GRAND RAPIDS, MI 49534-6300
(269) 372-1027
(269) 372-2940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017347
MI
Other
Enumeration date
08/31/2015
Last updated
08/06/2020
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