Individual provider · Type 1 NPI

Douglas Timothy Mack, MD

Otolaryngology Physician · Apo, AA

NPI number 1861993552 Active

Practice location

4076 Neely Rd.
Apo, AA 99703

Mailing address

4076 Neely Road
Fort Wainwright, TX 99703

Other practice locations

  • 400 E 3rd St, Duluth, MN 55805-1951 · (218) 786-8364

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000X78320 (MN)
Otolaryngology Physician Primary 207Y00000X32380 (NE)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

5 other providers at this address

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About NPI 1861993552

Douglas Timothy Mack, MD's National Provider Identifier is 1861993552, issued on Feb 27, 2018. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Apo, AA. The record was last updated on Jun 17, 2026.