Individual provider · Type 1 NPI
Michael Mack
Critical Care Medicine Registered Nurse · Philadelphia, PA
NPI number
1407138712
Active
Practice location
5416 N Lawrence St
Philadelphia, PA 19120-2804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | RN585234 (PA) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1407138712
Michael Mack's National Provider Identifier is 1407138712, issued on Sep 13, 2011. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 13, 2011.