NPI 1225216997
Michael Dean Mack, DO
Practice location
- Address
- 4480 Utica Ridge Rd, Bettendorf, IA 52722-1644
- Phone
- (563) 742-4850
- Mailing address
- 4578 Ashton Cir, Crestview, FL 32536-2258
Registered specialties (2)
Emergency Medicine Physician
Primary
Emergency Medicine Physician
Registry record
- NPI
- 1225216997
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Feb 2008
- Record last updated
- 21 Jan 2016
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.