Whalio Doctors

NPI 1013958339

Bruce James Mack, MD

Practitioner Neurology Physician Golden Valley, MN

Practice location

Address
4225 Golden Valley Rd, Golden Valley, MN 55422-4215
Phone
(763) 588-0661
Fax
(763) 287-2310

Registered specialties

Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 40493 (MN)

Registry record

NPI
1013958339
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jun 2006
Record last updated
11 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.