Individual
DR. GREGORY M MACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(220) 231-5067
Mailing address
101 WILLMAR AVE SW, AFFILIATED COMMUNITY MEDICAL CENTERS, WILLMAR, MN 56201
(320) 231-5000
(220) 231-5067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MN2973
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-02526
MEDICA/UNITED HEALTH CARE
MN
01
—
222010
COLE MANAGED VISION CARE
MN
01
—
2237465
AMERICA'S PPO
MN
01
—
339M8MA
BCBS
MN
05
—
650127300
—
MN
01
—
MN2973
EYEMED VISION CARE
MN
Enumeration date
06/28/2005
Last updated
03/28/2023
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