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PATRICK MACKNICK, PA-C
PA-C
Physician Assistant
NPI: 1861647000IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PENDING(IN)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 1818 CAREW ST, SUITE 250
FORT WAYNE, IN 46805 - Phone
- (260) 483-6448
Quick Facts
- NPI
- 1861647000
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 18
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