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Individual

DR. HEATHER A. MACKLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2115 W LEXINGTON AVE, ELKHART, IN 46514-1423
(574) 296-3955
(574) 296-3999
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3955
(574) 296-3999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01048989A
IN

Other

Enumeration date
05/27/2005
Last updated
09/21/2007
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