DR. Micah James Roland Mack, DO
NPI #1447745450 in Bellevue, Washington
Provider Information
- NPI Number
- 1447745450
- Entity Type
- Individual
- Name
- DR. Micah James Roland Mack, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Jun 22, 2018
- Last Updated
- Nov 16, 2021
Practice Location
- Address
- 11695 NE 4TH ST
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-5268
- Phone
- (425) 637-1855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Internal Medicine |
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