Individual
MICHAEL DAVID MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
218 N MAIN ST, NATICK, MA 01760-1139
(508) 647-4955
(508) 647-4956
Mailing address
218 N MAIN ST, NATICK, MA 01760-1139
(508) 647-4955
(508) 647-4956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50479
MA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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