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Organization
MACKE FAMILY PRACTICE LLC
Active
Organization
MACKE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DIANE MACKE APRN-CNP (NURSE PRACTITIONER)
(937) 492-1352
Entity
Organization
Contact information
Practice address
1025 FAIR RD, SIDNEY, OH 45365-8947
(937) 492-1352
(937) 492-1353
Mailing address
1025 FAIR RD, SIDNEY, OH 45365-8947
(937) 492-1352
(937) 492-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
09/28/2022
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