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Shack, Martin Neil

CPSO#: 32206

MEMBER STATUS
Active Member as of 24 Feb 1981
CPSO REGISTRATION CLASS
Independent Practice as of 24 Feb 1981

Summary

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Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:University Of Toronto, 1979

Practice Information

Primary Location of Practice
5927 Bathurst Street
Suite 104
Toronto ON  M2R 3T5
Phone: (416) 223-2040
Fax: (647) 689-2063 Electoral District: 10

Professional Corporation Information


Corporation Name: Martin Shack Medicine Professional Corporation
Certificate of Authorization Status: Issued Date:  Jun 28 2006

Shareholders:
Dr. M. Shack ( CPSO# 32206 )

Business Address:
104 - 5927 Bathurst Street
Willowdale ON  M2R 3T5
Phone Number: (416) 223-2040

Hospital Privileges

Hospital Location
North York General Hospital,General Division Toronto

Specialties

Specialty Issued On Type
Family Medicine Effective:01 Jul 1981 CFPC Specialist

Terms and Conditions

(1) Dr. MARTIN NEIL SHACK may practise only in the areas of medicine in which Dr. SHACK is educated and experienced.

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 24 Feb 1981