Dominique Merle Mack

NPI #1003603689 in Omaha, Nebraska

Provider Information

NPI Number: 1003603689
Entity Type: Individual
Name: Dominique Merle Mack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 24, 2025
Last Updated: Apr 24, 2025

Practice Location

Address: 1813 N 73RD ST
City: Omaha
State: Nebraska
ZIP Code: 68114-1905
Phone: (402) 991-5070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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