Individual
DR. RACHEL JO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(616) 391-6243
Mailing address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 968-9100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01086489A
IN
208200000X
Plastic Surgery Physician
4301107699
MI
Other
Enumeration date
06/26/2015
Last updated
08/08/2023
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