| Dana Ellen Macmillan M D P L L C | |
|
25600 Woodward Ave Suite 101 Royal Oak MI 48067-0943 | |
| (248) 336-8278 | |
| Not Available |
| Full Name | Dana Ellen Macmillan M D P L L C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25600 Woodward Ave, Royal Oak, Michigan |
| Authorized Official Name and Position | Dana Ellen Macmillan (OWNER) |
| Authorized Official Contact | 2483368275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Ellen Macmillan M D P L L C 25600 Woodward Ave Suite 101 Royal Oak MI 48067-0943 Ph: (248) 336-8278 | Dana Ellen Macmillan M D P L L C 25600 Woodward Ave Suite 101 Royal Oak MI 48067-0943 Ph: (248) 336-8278 |
| NPI Number | 1659511947 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Medicare PECOS PAC ID | 1456408566 |
|---|---|
| Medicare Enrollment ID | O20090407000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659511947 | NPI | - | NPPES |
| 1558497578 | Other | MI | PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301404641 (Michigan) | Primary |
| Provider Name | Dana Macmillan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558497578 PECOS PAC ID: 9133276231 Enrollment ID: I20090407000231 |
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