Individual
MS. RACHEL RENEE MACKMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43475 DALCOMA DR STE 200, CLINTON TOWNSHIP, MI 48038-3593
(865) 228-2518
(586) 228-2517
Mailing address
43475 DALCOMA DR STE 200, CLINTON TOWNSHIP, MI 48038-3593
(586) 321-1139
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601009986
MI
Other
Enumeration date
03/20/2020
Last updated
02/02/2021
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