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Individual

DR. ERIC RUSSELL MACRAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-5000
Mailing address
208 SOUTHSHORE DR, LAKE WINNEBAGO, MO 64034-9471
(816) 517-5489

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017012009
MO

Other

Enumeration date
03/28/2014
Last updated
08/08/2017
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