DAVE MACK

MADISON, WI
NPI1376648154
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: WI  NA)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
-- DAVE MACK
1514 DRAKE ST.
MADISON, WI 53711
Phone number: 608-294-9922
Mailing Address
-- DAVE MACK
1514 DRAKE ST.
MADISON, WI 53711
Phone number:
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