Individual
DR. AUDREY KRISTIN MCMACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
938 2ND AVE W, DICKINSON, ND 58601-3916
(701) 456-6000
(701) 456-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 456-5709
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11000
ND
Other
Enumeration date
06/26/2008
Last updated
08/21/2008
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