Individual
DAVID MACHNACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2455 UNION LAKE RD, SUITE 101, COMMERCE TWP, MI 48382-3554
(248) 360-6000
(248) 360-6040
Mailing address
2455 UNION LAKE RD, SUITE 101, COMMERCE TOWNSHIP, MI 48382-3596
(248) 363-1491
(248) 363-1493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014897
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H228210
BCBSM/BCN
MI
Enumeration date
06/08/2006
Last updated
03/23/2015
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