Individual
MICHAEL JOSEPH MACKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 SAW MILL RD UNIT 7105, DANBURY, CT 06810-5138
(646) 549-9142
Mailing address
50 SAW MILL RD UNIT 7105, DANBURY, CT 06810-5138
(646) 549-9142
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176238
CT
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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