person
Dr. Thomas Val Mack, MD
General Practice Physician in Marinette, Wisconsin
NPI 1417987470

Thomas Val Mack is a General Practice Physician based in Marinette, WI. Thomas Val Mack practices in Marinette, WI and has the professional credentials of MD. The NPI Number for Thomas Val Mack is 1417987470 and holds a License No. 21285-20 (Wisconsin).

The current practice location address for Thomas Val Mack is 4061 Old Peshtigo Rd, Marinette, WI and can be reached out via phone at 715-732-8090 and via fax at 715-732-8015.

Location: 4061 Old Peshtigo Rd, Marinette, WI, 54143-4110
person
Provider Profile Details
NPI Number
1417987470
Provider Name
Thomas Val Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4061 Old Peshtigo Rd, Marinette, WI, 54143-4110
Phone Number
715-732-8090
Fax Number
715-732-8015
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01529036 01 MEDICARE RAILROAD
30126200 05 WI
institution
Provider Business Practice Location Address Details
Address
4061 Old Peshtigo Rd
City
State
Zip
54143-3887
Phone Number
715-732-8090
Fax Number
715-732-8015
person
Provider Business Mailing Address Details
Address
4061 Old Peshtigo Rd
City
State
Zip
54143-3887
Phone Number
715-732-8090
Fax Number
715-732-8015
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
21285-20 (Wisconsin)
Definition
Definition to come...
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