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Search › Wisconsin › 2084N0402X

Kenneth Mack, M.D

NPI 1689651044 · on the registry since 2005

Practice

Address
600 Highland Ave
Madison, WI 53792
Phone
(608) 890-6500
Organisation at this address
Home Enteral Nutrition
University Of Wisconsin System Non Payroll
University Of Wisconsin Medical Foundation
University Of Wisconsin Hospital And Clinics
University Of Wisconsin Hospital And Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3,301

Registry record

Primary taxonomy
2084N0402X
2084N0402X
Also registered as
2084N0400X
2084N0400X
2084N0402X
Licence states on file
MN, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-15

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