Individual
BRUCE W MACKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 N CHURCH ST, CANASERAGA, NY 14822-9721
(607) 545-2111
(607) 545-2100
Mailing address
10869 STATE ROUTE 36, DANSVILLE, NY 14437-9444
(585) 335-3100
(585) 335-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
176089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01254388
—
NY
Enumeration date
05/20/2006
Last updated
12/30/2025
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