DEAN E MAST

GREAT LAKES PHYSICIAN PRACTICE PC

Dr DEAN E MAST is a male medical professional, specializing in Family Medicine. He graduated in 1987 from University Of Cincinnati College Of Medicine.

Contact

GREAT LAKES PHYSICIAN PRACTICE PC

117 MAIN ST
SALAMANCA
NY
147791529

Tel: 7169455500

DEAN E MAST Information

Npi 1760525406
Pac Id 5597939041
Professional Enrollment Id I20111117000597
Last Name MAST
First Name DEAN
Middle Name E
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year 1987
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GREAT LAKES PHYSICIAN PRACTICE PC
Group Practice Pac Id 6709007701
Number Of Group Practice Members 85
Line 1 Street Address 117 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SALAMANCA
State NY
Zip Code 147791529
Phone Number 7169455500
Hospital Affiliation Ccn 1 330103
Hospital Affiliation Lbn 1 OLEAN GENERAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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