Individual
DR. RICHARD WAYNE MACAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
565 PROGRESS ST, WEST BRANCH, MI 48661-8601
(877) 595-1090
(989) 345-3163
Mailing address
PO BOX 932879, CLEVELAND, OH 44193-0025
(877) 595-1090
(989) 345-3163
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301042308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930117513
RAILROAD MEDICARE
MI
01
—
OF51015
BLUE CROSS
MI
Enumeration date
02/02/2006
Last updated
12/17/2015
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