Individual
DR. DANE GALLMANN MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 SHERWOOD FOREST BLVD, BATON ROUGE, LA 70815-5262
(225) 281-1100
Mailing address
22576 DOUGLAS ROAD, CLEVELAND, OH 44122
(225) 281-1100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.206478
LA
2085R0204X
Vascular & Interventional Radiology Physician
57.029054
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2012
Last updated
01/17/2023
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