Individual
ZOE MARIE MACISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
58697
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58697
LICENSE NUMBER
AZ
Enumeration date
07/31/2013
Last updated
09/18/2020
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