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Mrs. Soundra D Mackavich, NP-C
Family Nurse Practitioner in Pontiac, Michigan
NPI 1578891792

Soundra D Mackavich is a Family Nurse Practitioner based in Waterford, MI and is specialized in Family. Soundra D Mackavich practices in Pontiac, MI and has the professional credentials of NP-C. The NPI Number for Soundra D Mackavich is 1578891792 and holds a License No. 2488088 (Michigan).

The current practice location address for Soundra D Mackavich is 44405 Woodward Ave, Pontiac, MI and can be reached out via phone at 248-858-6591.

Location: 44405 Woodward Ave, Pontiac, MI, 48328-3430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578891792
Provider Name
Soundra D Mackavich
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
44405 Woodward Ave, Pontiac, MI, 48328-3430
Phone Number
248-858-6591
Fax Number
Provider Enumeration Date
11/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44405 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-6591
Fax Number
person
Provider Business Mailing Address Details
Address
44405 Woodward Ave
City
Pontiac
State
Michigan
Zip
48341-5023
Phone Number
248-858-6591
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2488088 (Michigan)
Definition
Definition to come...
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