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1407419591
AUSTIN DANIEL MACKENZIE
GRAND RAPIDS, MI
NPI
1407419591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301506905)
Enumeration Date
2019-04-15
Last Update Date
2022-09-23
Business Address
Dr. AUSTIN DANIEL MACKENZIE MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-975-1845
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Mailing Address
Dr. AUSTIN DANIEL MACKENZIE MD
PO BOX 22067
LANSING, MI 48909-2067
Phone number:
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