Search › Wisconsin › Military Health Care Provider
Dave Mack
NPI 1376648154 · on the registry since 2006
Practice
- Address
- 1514 Drake St.
Madison, WI 53711 - Phone
- (608) 294-9922
Registry record
- Primary taxonomy
- Military Health Care Provider
171000000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin