PATRICK ANDREW MACKNICK

FORT WAYNE, IN
NPI1861647000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  Pending)
Enumeration Date2008-12-01
Last Update Date2009-11-20
Business Address
-- PATRICK ANDREW MACKNICK PA-C
1818 CAREW ST SUITE 250
FORT WAYNE, IN 46805-4788
Phone number: 260-483-6448
Mailing Address
-- PATRICK ANDREW MACKNICK PA-C
1234 E DUPONT RD SUITE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9965
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