Healthcare Provider Details

I. General information

NPI: 1497472575
Provider Name (Legal Business Name): REBECCA ANNE CUNNINGHAM MACFARLANE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 07/09/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DETROIT MEDICAL CENTER 4201 SAINT ANTOINE ST
DETROIT MI
48201
US

IV. Provider business mailing address

BEAUMONT HOSPITAL- ROYAL OAK, GME OFFICE 3601W THIRTEEN MILE RD
ROYAL OAK MI
48073
US

V. Phone/Fax

Practice location:
  • Phone: 313-745-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301514813
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: