| Doctor Name: | DR. RICHARD WAYNE MACAULEY |
| NPI Number: | 1992777296 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301042308 |
| Business Practice Address: | 565 Progress St West Branch, MI - 486618601 |
| Business Phone Number: | 8775951090 |
| Business Fax Number: | 9893453163 |
| Mailing Address: | Po Box 932879, CLEVELAND |
| State: | OH |
| Postal Code: | 441930025 |
| Phone Number: | 8775951090 |
| Fax Number: | 9893453163 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301042308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |