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Dr. Bruce James Mack, MD
Neurology Physician in Golden Valley, Minnesota
NPI 1013958339

Bruce James Mack is a Neurology Physician based in Golden Valley, MN and is specialized in Neurology. Bruce James Mack practices in Golden Valley, MN and has the professional credentials of MD. The NPI Number for Bruce James Mack is 1013958339 and holds a License No. 40493 (Minnesota).

The current practice location address for Bruce James Mack is 4225 Golden Valley Rd, Golden Valley, MN and can be reached out via phone at 763-588-0661 and via fax at 763-287-2310.

Location: 4225 Golden Valley Rd, Golden Valley, MN, 55422-4215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013958339
Provider Name
Bruce James Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4225 Golden Valley Rd, Golden Valley, MN, 55422-4215
Phone Number
763-588-0661
Fax Number
763-287-2310
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0500046 01 MN MEDICA
32438000 05 WI
35Q98MA 01 MN BCBS OF MN
769546 01 MN AMERICA'S PPO
HP24316 01 MN HEALTHPARTNERS
1015838 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
4225 Golden Valley Rd
City
Golden Valley
State
Minnesota
Zip
55422-4215
Phone Number
763-588-0661
Fax Number
763-287-2310
person
Provider Business Mailing Address Details
Address
4225 Golden Valley Rd
City
Golden Valley
State
Minnesota
Zip
55422-4215
Phone Number
763-588-0661
Fax Number
763-287-2310
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
40493 (Minnesota)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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