IndividualActive
Diane Mackie, DO
NPI 1972585909 · Anatomic Pathology & Clinical Pathology Physician · Bremen, IN
Provider details
- NPI number
- 1972585909
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 02000864A (IN)
Mailing address
5620 Southwyck Blvd
Toledo, OH 43614-1501
Registry dates
- Enumerated
- 2005-11-16
- Last updated
- 2010-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.