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1104519933
MACEY MICHELE MATTOCK
IOWA CITY, IA
NPI
1104519933
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Former Name
MACEY MICHELE PETERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IA R-12796)
Enumeration Date
2023-05-29
Last Update Date
2023-05-29
Business Address
MACEY MICHELE MATTOCK MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2294
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Mailing Address
MACEY MICHELE MATTOCK MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-2294
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