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1083678692
TIFFANY L MACK
MADISON, WI
NPI
1083678692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WI 1922-023)
Enumeration Date
2006-04-12
Last Update Date
2018-02-22
Business Address
TIFFANY L MACK PA
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-7203
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Mailing Address
TIFFANY L MACK PA
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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