IndividualActive
Bruce Mack, M.D.
NPI 1013958339 · Neurology Physician · Golden Valley, MN
Provider details
- NPI number
- 1013958339
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 40493 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone: (763) 588-0661
Fax: (763) 287-2310
Approximate (ZIP-level) locationGet directions
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.