Macke, Vincent A

Macke, Vincent A is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684-7331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Macke, Vincent A can be contacted via phone (231) 935-5770.

Contact Information

Primary practice address
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7331
Phone: (231) 935-5770
Fax: (231) 935-0747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301053543 Michigan

Profile Details

NPI number 1356330997
LBN Legal business name Macke, Vincent A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Apr 14th, 2015 - about 10 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 1356330997 NPPES
Michigan MEDICAID 1356330997

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