Bruce James Mack in Golden Valley - Neurology
Bruce James Mack - NPI 1013958339
Bruce James Mack is a Neurology in Golden Valley, Minnesota. Bruce James Mack practices all healthcare services and medical treatments related to Neurology. The NPI Number for Bruce James Mack is 1013958339. The last update date is 2007-07-11.
Bruce James Mack's current location address is 4225 Golden Valley Rd, Golden Valley, Minnesota. You can contact this provider via phone number 7635880661 and fax number 7632872310. The mailing address for Bruce James Mack is 4225 Golden Valley Rd, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce James Mack |
|---|---|
| Address | 4225 Golden Valley Rd, Golden Valley, Minnesota |
| Phone Number | 7635880661 |
| Fax Number | 7632872310 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013958339 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 4225 Golden Valley Rd |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224215 |
| Phone Number | 7635880661 |
| Fax Number | 7632872310 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 40493 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500046 | MN | MEDICA | |
| 32438000 | WI | -- | |
| 35Q98MA | MN | BCBS OF MN | |
| 769546 | MN | AMERICA'S PPO | |
| HP24316 | MN | HEALTHPARTNERS | |
| 1015838 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the Bruce James Mack's area of specialization and corresponding taxonomy classification?
The Bruce James Mack's specialty field is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their specialties.
When did the Bruce James Mack receive its 1013958339?
The Bruce James Mack was issued its 1013958339 on 2006-06-09, which is the date when the organization was assigned this unique identifier.
On what date did the Bruce James Mack receive its 1013958339 assignment from the Centers for Medicare & Medicaid Services?
The Bruce James Mack was assigned its 1013958339 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the Bruce James Mack's details last updated?
The information pertaining to the Bruce James Mack, including its address, specialty, and other details, was most recently updated on 2007-07-11.
As of what date were the details related to Bruce James Mack most recently updated or revised?
The information pertaining to Bruce James Mack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-11.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA