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Gregory J Mack, DPM
Foot & Ankle Surgery Podiatrist in Menomonie, Wisconsin
NPI 1760577506

Gregory J Mack is a Foot & Ankle Surgery Podiatrist based in Menomonie, WI and is specialized in Foot & Ankle Surgery. Gregory J Mack practices in Menomonie, WI and has the professional credentials of DPM. The NPI Number for Gregory J Mack is 1760577506 and holds a License No. 651025 (Wisconsin).

The current practice location address for Gregory J Mack is 201 Cedar Falls Rd, Menomonie, WI and can be reached out via phone at 715-235-4274 and via fax at 715-235-9644.

Location: 201 Cedar Falls Rd, Menomonie, WI, 54751-0392
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Provider Profile Details
NPI Number
1760577506
Provider Name
Gregory J Mack
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
201 Cedar Falls Rd, Menomonie, WI, 54751-0392
Phone Number
715-235-4274
Fax Number
715-235-9644
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43214300 05 WI
institution
Provider Business Practice Location Address Details
Address
201 Cedar Falls Rd
City
State
Zip
54751-1270
Phone Number
715-235-4274
Fax Number
715-235-9644
person
Provider Business Mailing Address Details
Address
201 Cedar Falls Rd
City
State
Zip
54751-1270
Phone Number
715-235-4274
Fax Number
715-235-9644
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
651025 (Wisconsin)
Definition
Definition to come...
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