Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVE MACK
ActiveDAVE MACK is a Military Health Care Provider healthcare provider located in MADISON, Wisconsin. NPI 1376648154 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · MADISON, WI
Registration Details
- NPI Number
- 1376648154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.948455822329 yrs)
- Last Updated
- Jul 8, 2007
- License
-
NA (WI)
Practice Information
- Address
-
1514 DRAKE ST.MADISON, WI, 53711Browse WI providers · Browse ZIP 53711
- Phone
- 6082949922
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.