Individual
JAMES ALAN MACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4572 COUNTY ROAD 61, MOOSE LAKE, MN 55767-9401
(218) 485-4481
Mailing address
40668 LAKELAND RD, STURGEON LAKE, MN 55783-3868
(218) 251-8272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116704
MN
Other
Enumeration date
08/30/2017
Last updated
03/07/2019
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