Individual
MACIE MARKELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE,, D5252 MPB, SPC 5718, ANN ARBOR, MI 48109-5718
(734) 936-4717
Mailing address
1500 E. MEDICAL CENTER DRIVE,, D5252 MPB, SPC 5718, ANN ARBOR, MI 48109-5718
(734) 936-4717
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
5101028552
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
07/07/2025
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