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Individual

DR. JAMES EDWIN MACVICAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HIAWATHA COVE TRAIL, BATTLE CREEK, MI 49015-3500
(269) 963-6130
Mailing address
611 KEY ROYALE DRIVE, HOLMES BEACH, FL 34217-1237
(941) 778-7534

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301023807
MI

Other

Enumeration date
02/21/2012
Last updated
02/21/2012
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