DANIEL MACIAS MD
Osteopathic Medicine at Mansion St, Marshall, MI

License number
Michigan 4301082908
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: DANIEL MACIAL MD
Title: OWNER
Phone: (269) 781-3461
Address
Address
139 W Mansion St, Marshall, MI 49068
National Provider ID: 1184820680
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DANIEL MACIAS, M.D., INC

Marshall, MI

Status:
Inactive
Doing business as:
DANIEL MACIAS, M.D., PC
Registration:
Jul 3, 1996
Inactive since:
Jul 27, 2006
Addresses:
Daniel Macias, Marshall, MI 49068 (Physical)
122 High St, Marshall, MI 49068 (Physical)
Michigan (Mailing)
State ID:
16807D
Business type:
Corporation
Entity State:
WV
Expiration:
7-15-2008
Incorporators:
Daniel Macias (Director), PO Box 749, Ceredo, WV 25507,Daniel Macias, M.d (Incorporator), 611 7 Ave, Huntington, WV 25701

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