Kenneth J Mack, MD
Kenneth J Mack, MD is a Neurology in Madison, Wisconsin. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1984, 42 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 42
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- MN, WI
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
600 Highland AveMadison, WI 53792-0001
Phone: (608) 890-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology with Special Qualifications in Child Neurology Physician (primary) | Taxonomy 2084N0402X · Licence 31065 (WI) |
|---|---|
| Neurology Physician | Taxonomy 2084N0400X · Licence 44001 (MN) |
| Neurology Physician | Taxonomy 2084N0400X · Licence 31065 (WI) |
| Neurology with Special Qualifications in Child Neurology Physician | Taxonomy 2084N0402X · Licence 44001 (MN) |
Record details
| NPI number | 1689651044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 28, 2005 |
| Last updated in NPPES | March 15, 2024 |
| Certification date | March 15, 2024 |
| Mailing address | 7974 Uw Health Ct, Middleton, WI 53562-5531 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1984 (42 years in practice) |
| Group practice | University Of Wisconsin Medical Foundation Inc — 2536 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Madison
-
Jenny P Liao, MD
600 Highland Ave, Madison, WI 53792 · (608) 263-5442
-
Dr. Vanessa Lopez, DO
600 Highland Ave, Madison, WI 53792-1465 · (608) 263-6400
-
Barend P Lotz, MD
3950 Plymouth Cir, Madison, WI 53705-5212 · (608) 233-1534
-
Christopher C Luzzio, MD
600 Highland Ave, Madison, WI 53792 · (608) 263-5442
-
Madison Neurology LLC
636 Grand Canyon Dr, Madison, WI 53719-1044 · (949) 615-9065
-
Teresa M. Mangin, MD
20 S Park St, Madison, WI 53715-1348 · (608) 287-2090
-
Charles E Miley, MD
1313 Fish Hatchery Rd Dean Medical Ctr, Madison, WI 53715-1911 · (608) 252-8000
-
Bridget Morgan, MD
600 Highland Ave, Madison, WI 53792-0001 · (608) 263-6400