Individual
DR. PAULA S MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 CHICAGO AVE, CHILDREN'S PRIMARY CLINIC - MPLS, MINNEAPOLIS, MN 55404-4518
(612) 813-6107
(612) 813-7473
Mailing address
2910 CENTRE POINTE DR, STE 35-121A, CHILDREN'S HEALTH CARE, ROSEVILLE, MN 55113-1182
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40751
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204042500
—
MN
Enumeration date
08/02/2005
Last updated
08/31/2012
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