Individual
DR. JUDY A MACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
167 COLE RD, MONROE, MI 48162-4106
(734) 457-0455
(734) 457-0695
Mailing address
21950 KNUDSEN DR, GROSSE ILE, MI 48138-1345
(734) 676-9213
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
JM407155
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102649578
—
MI
Enumeration date
05/26/2006
Last updated
02/26/2014
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