Macon, Myrtice E

Macon, Myrtice E is an individual health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Macon, Myrtice E can be contacted via phone (313) 343-1000.

Contact Information

Primary practice address
468 Cadieux Rd Grosse Pointe MI 48230-1507
Phone: (313) 343-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301044291 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301044291 Michigan

Profile Details

NPI number 1336160225
LBN Legal business name Macon, Myrtice E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1336160225 NPPES
Michigan Other 0505010782 BCBS

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