Individual
DR. JOSHUA A MACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
723 MEMORIAL ST, PROSSER, WA 99350-1593
(360) 348-2448
Mailing address
723 MEMORIAL ST, PROSSER, WA 99350-1593
(360) 348-2448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61400634
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
05/17/2023
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