Individual
DR. MARIANA N MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9100 W 74TH ST, MERRIAM, KS 66204
Mailing address
9100 W 74TH ST, MERRIAM, KS 66204-4004
(913) 676-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0435494
KS
2084P0800X
Psychiatry Physician
2012001030
MO
Other
Enumeration date
05/25/2006
Last updated
03/13/2019
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