Individual
J GARRY SACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 WESTHILL DR, WAUSAU, WI 54401-3700
(715) 847-2021
(715) 847-2325
Mailing address
2801 WESTHILL DR, WAUSAU, WI 54401-3700
(715) 847-2021
(715) 847-2325
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18475-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30108700
—
WI
Enumeration date
05/18/2006
Last updated
07/08/2007
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