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Dr. Micah James Roland Mack, DO
Internal Medicine Physician in Bellevue, Washington
NPI 1447745450

Micah James Roland Mack is a Internal Medicine Physician based in Bellevue, WA. Micah James Roland Mack practices in Bellevue, WA and has the professional credentials of DO. The NPI Number for Micah James Roland Mack is 1447745450 and holds a License No. (Washington).

The current practice location address for Micah James Roland Mack is 11695 Ne 4Th St, Bellevue, WA and can be reached out via phone at 425-637-1855 and via fax at 206-344-7970.

Location: 11695 Ne 4Th St, Bellevue, WA, 98004-5268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447745450
Provider Name
Micah James Roland Mack
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11695 Ne 4Th St, Bellevue, WA, 98004-5268
Phone Number
425-637-1855
Fax Number
206-344-7970
Provider Enumeration Date
06/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11695 Ne 4Th St
City
Bellevue
State
Washington
Zip
98004-5268
Phone Number
425-637-1855
Fax Number
206-344-7970
person
Provider Business Mailing Address Details
Address
11695 Ne 4Th St
City
Bellevue
State
Washington
Zip
98004-5268
Phone Number
425-637-1855
Fax Number
206-344-7970
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
OP61175176 (Washington)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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