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Individual

DR. DANIEL J MACK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
658 RIDGE RD, WEBSTER, NY 14580-2350
(585) 671-0882
(585) 671-2417
Mailing address
658 RIDGE RD, WEBSTER, NY 14580-2350
(585) 671-0882
(585) 671-2417

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007814-1
NY

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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