Dave Mack
Dave Mack is a Military Health Care Provider in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
1514 Drake StMadison, WI 53711
Phone: (608) 294-9922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X · Licence NA (WI) |
|---|
Record details
| NPI number | 1376648154 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 14, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1514 Drake St., Madison, WI 53711 |
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