JASON D MACK

WAUSAU, WI
NPI1609169200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  60327)
Enumeration Date2011-05-16
Last Update Date2013-06-25
Business Address
-- JASON D MACK DO
425 WIND RIDGE DR
WAUSAU, WI 54401-4149
Phone number: 715-675-3391
Mailing Address
-- JASON D MACK DO
425 WIND RIDGE DR
WAUSAU, WI 54401-4149
Phone number: 715-675-3391
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