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NPI 1376648154

IndividualActive

Dave Mack

NPI 1376648154 · Military Health Care Provider · Madison, WI

Provider details

NPI number: 1376648154
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Sex: Male
Sole proprietor: No
License: NA (WI)

Practice location

1514 Drake St.

Madison, WI 53711

Phone: (608) 294-9922

More WI providers

Mailing address

1514 Drake St.

Madison, WI 53711

Registry dates

Enumerated: 2006-09-14
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Dave Mack — NPI 1376648154, Madison, WI | NPI Central