Individual
MICHAEL MACECHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 N. COLLEGE AVE., FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-7492
AR
Other
Enumeration date
07/07/2009
Last updated
07/09/2012
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