Cara Mack, MD
Pediatrics, Pediatric Gastroenterology in Milwaukee, WI. Individual provider (NPI-1).
NPI number1083799720
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1083799720
- Entity type
- Individual (NPI-1)
- Name
- Cara Mack
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 76745 | WI | Yes |
Practice location
9000 W Wisconsin AveMilwaukee, WI 53226-4874
Phone 414-266-3690 · Fax 414-266-3676
Mailing address
9000 W Wisconsin AveMilwaukee, WI 53226-4874
Phone 414-266-3690 · Fax 414-266-3676
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