Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS VAL MACK, MD
ActiveDR. THOMAS VAL MACK, MD is a General Practice healthcare provider located in MARINETTE, Wisconsin. NPI 1417987470 is currently active in the NPPES registry. Verify at CMS.
General Practice · MARINETTE, WI
Registration Details
- NPI Number
- 1417987470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 4, 2006 (20.13055020407 yrs)
- Last Updated
- Oct 17, 2018
- License
-
21285-20 (WI)
Practice Information
- Address
-
4061 OLD PESHTIGO RDMARINETTE, WI, 541433887Browse WI providers · Browse ZIP 54143
- Phone
- 7157328090
- Fax
- 7157328015
- Primary Specialty
-
General Practice
208D00000X
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.