Individual
NANCY B MACCHIARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1005 SOUTH VAN DYKE, BAD AXE, MI 48413
(989) 269-3923
(989) 269-3983
Mailing address
1005 SOUTH VAN DYKE, BAD AXE, MI 48413
(989) 269-3923
(989) 269-3983
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101013377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1653210895
BCBSM
MI
05
—
4624157
—
MI
Enumeration date
07/14/2006
Last updated
02/01/2013
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