IndividualActive
Gregory Mack, DPM
NPI 1760577506 · Foot & Ankle Surgery Podiatrist · Menomonie, WI
Provider details
- NPI number
- 1760577506
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 651025 (WI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
201 Cedar Falls Rd
Menomonie, WI 54751-1270
Phone: (715) 235-4274
Fax: (715) 235-9644
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 392
Menomonie, WI 54751-0392
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2022-01-27
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.