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DR. GEORGE JOSEPH MACK D.O. NPI 1356384275


NPI Information

NPI: 1356384275
Provider Name: DR. GEORGE JOSEPH MACK, D.O.
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Individual
Address:
7901 S 12TH ST
STE. 201
PORTAGE, MI
ZIP 49024
Phone: (269) 372-8687
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DR. George Joseph Mack, D.O. is a thoracic surgery cardiothoracic vascular surgery in Portage, MI. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. George Joseph Mack, D.O. NPI is 1356384275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7901 S 12TH ST
STE. 201
PORTAGE, MI
ZIP 49024-831
Phone: (269) 372-8687
Fax: (269) 372-6141

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)5101009076MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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