Individual
DR. JOSEPH MICHAEL MACK
Active
Individual
DR. JOSEPH MICHAEL MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17609C
WY
2085R0202X
Diagnostic Radiology Physician
Primary
58275
GA
2085R0202X
Diagnostic Radiology Physician
CDR.0004506
CO
2085R0202X
Diagnostic Radiology Physician
CP1090
NE
Other
Enumeration date
12/28/2005
Last updated
03/08/2025
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