Provider Demographics
NPI:1316915408
Name:MACRAE, MARGARET A (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:MACRAE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E 26TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4526
Mailing Address - Country:US
Mailing Address - Phone:651-884-6300
Mailing Address - Fax:651-884-6363
Practice Address - Street 1:910 E 26TH ST
Practice Address - Street 2:STE 100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4526
Practice Address - Country:US
Practice Address - Phone:651-884-6300
Practice Address - Fax:651-884-6363
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN22403207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8T409MAOtherBLUE CROSS BLUE SHIELD MN
MN23295OtherAMERICA'S PPO
WI31682100Medicaid
MN773288100Medicaid
MN111895OtherUCARE MN
MN3600787OtherMEDICA
MNHP13886OtherHEALTHPARTNERS
MN0104001OtherPREFERREDONE
MN3600787OtherMEDICA
MN773288100Medicaid
WI31682100Medicaid