Individual
DANA LEE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 MAIN STREET N, RENVILLE, MN 56284-0606
(320) 329-8395
(320) 329-8397
Mailing address
420 MAIN STREET N, RENVILLE, MN 56284-0606
(320) 329-8395
(320) 329-8397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP4218
MN
Other
Enumeration date
11/13/2015
Last updated
05/18/2018
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