Individual
CARA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-3690
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
76745
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24738069
—
CO
Enumeration date
10/25/2006
Last updated
03/04/2022
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