Whalio Doctors

NPI 1225216997

Michael Dean Mack, DO

Practitioner Emergency Medicine Physician Bettendorf, IA

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
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence OS12342 (FL)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 3906 (IA)

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.