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Search › Michigan › 103K00000X

Mackenzie Clegg

NPI 1013468065 · on the registry since 2016

Practice

Address
790 Fuller Ave Ne
Grand Rapids, MI 49503
Phone
(616) 336-3909
Fax
(616) 336-8830
Organisation at this address
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Kent County Cmh Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
389

Additional practice sites

  • 120 Stevens St Sw, Grand Rapids, MI

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
247200000X
Sex
Female
Record last updated
2025-04-10

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