Individual
MACKENZIE ACUS STARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1138 INDEPENDENCE AVE, MARION, OH 43302-6318
(740) 383-7953
(740) 375-8114
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(740) 383-7953
(740) 375-8114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05737
MD
Other
Enumeration date
03/17/2015
Last updated
11/07/2024
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