MICHAEL MACK

PHILADELPHIA, PA
NPI1407138712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: PA  RN585234)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
-- MICHAEL MACK
5416 N LAWRENCE ST
PHILADELPHIA, PA 19120-2804
Phone number: 267-257-9270
Mailing Address
-- MICHAEL MACK
5416 N LAWRENCE ST
PHILADELPHIA, PA 19120-2804
Phone number: 267-257-9270
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