Individual provider · Type 1 NPI

Soundra D. Mackavich, NP-C

Family Nurse Practitioner · Pontiac, MI

NPI number 1578891792 Active

Practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Call (248) 858-6591 Map

Mailing address

580 Grixdale Ln
Waterford, MI 48328-3430

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	2488088 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1578891792

Soundra D. Mackavich, NP-C's National Provider Identifier is 1578891792, issued on Nov 29, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pontiac, MI. The record was last updated on Nov 29, 2009.