NPI 1013958339
Bruce James Mack, MD
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
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.