Individual
DAVID K MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 SIXTH ST, SUITE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5822
Mailing address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5822
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101007167
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995951
—
MI
Enumeration date
09/20/2005
Last updated
07/05/2012
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