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Search › Wisconsin › 225200000X

Tina Mack

NPI 1588021281 · on the registry since 2016

Practice

Address
331 S Water St
Sparta, WI 54656
Phone
(608) 366-6239
Organisation at this address
Morrow Home
Morrow Memorial Home For The Aged
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-26

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