SearchMichigan1041C0700X

Theodore Mackinnon

NPI 1740056290 · on the registry since 2023 · sole proprietor

Practice

Address
2150 Columbia Ave W
Battle Creek, MI 49015
Phone
(269) 397-2234
Organisation at this address
Recovery Services Unlimited, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan