Individual
KIM MACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11750 HIGHLAND RD, SUITE 300, HARTLAND, MI 48353-2734
(810) 599-0196
Mailing address
2455 CHILSON MEADOWS LN, HOWELL, MI 48843-9483
(810) 599-0196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501000250
MI
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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