Whalio Doctors

NPI 1669412854

Ranald Mackenzie, OD

Practitioner Optometrist Madison Hts, MI

Practice location

Address
655 W 13 Mile Rd, Madison Hts, MI 48071-1844
Phone
(248) 577-3659
Fax
(248) 588-9320
Mailing address
32600 Gratiot Ave, Roseville, MI 48066-1126

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence RM002595 (MI)

Registry record

NPI
1669412854
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jun 2006
Record last updated
11 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.