Stephanie Mackall

NPI #1699035329 in Poland, Ohio

Provider Information

NPI Number: 1699035329
Entity Type: Individual
Name: Stephanie Mackall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 335 W. MCKINELY WAY
City: Poland
State: Ohio
ZIP Code: 44514-1038
Phone: (330) 757-2732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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