Individual
KAITLINN PATRICIA MACIEISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4076 NEELY ROAD, FAIRBANKS, AK 99703
(907) 361-5172
Mailing address
4076 NEELY ROAD, FAIRBANKS, AK 99703
(907) 361-5172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
324918
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
06/22/2023
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