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NPI Code Detail

MEDICARE: MICHAEL A MACQUARRIE MD

MEDICARE: MICHAEL A MACQUARRIE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianMD0000026300TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14030468OTHERTNBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790766590
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A MACQUARRIE MD
Provider Business Mailing Address
First Line : 602 E CLARK BLVD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-2121
Country : US
Telephone Number : 615-494-3202
Fax Number : 615-494-5206
Provider Business Practice Location Address
First Line : 602 E CLARK BLVD
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-2121
Country : US
Telephone Number : 615-494-3202
Fax Number : 931-680-9835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 02/22/2011

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Directions to “ MICHAEL A MACQUARRIE MD” Practice Location

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