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Individual
CRAIG ANDREW MACKANESS
Active
Individual
CRAIG ANDREW MACKANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
OS015563
PA
Other
Enumeration date
06/11/2009
Last updated
06/19/2015
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