Individual
JAMES C MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 JOHN ST, EVANSVILLE, IN 47714-0216
(812) 473-3144
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01032817
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296343
ANTHEM
IN
05
—
100179940
—
IN
01
—
834950OOOO
MEDICARE
IN
Enumeration date
06/01/2005
Last updated
10/23/2015
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