Macik, Gregory M

Macik, Gregory M is an individual health care provider with primary practice located at 101 Willmar Ave Sw Affiliated Community Medical Centers, Willmar MN 56201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Macik, Gregory M can be contacted via phone (320) 231-5000.

Contact Information

Primary practice address
101 Willmar Ave Sw Affiliated Community Medical Centers Willmar MN 56201
Phone: (320) 231-5000
Fax: (220) 231-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MN2973 Minnesota

Profile Details

NPI number 1922004514
LBN Legal business name Macik, Gregory M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922004514 NPPES
Minnesota Other 339M8MA BCBS
Minnesota Other 22-02526 BCBS
Minnesota Other 2237465 BCBS
Minnesota Other 222010 BCBS
Minnesota MEDICAID 650127300 BCBS
Minnesota Other MN2973 BCBS

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