Individual
DEBORAH LYNN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 278-5316
Mailing address
236 EVERGREEN DR, BATESVILLE, IN 47006-5161
(812) 934-4074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01051109A
IN
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
01051109A
IN
Other
Enumeration date
04/28/2006
Last updated
04/25/2025
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