Individual
MORGAN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
201 CEDAR FALLS RD, MENOMONIE, WI 54751
(715) 235-4274
(715) 235-9644
Mailing address
PO BOX 392, MENOMONIE, WI 54751-0392
(715) 235-4274
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
1149-25
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1149-25
WI
213ES0131X
Foot Surgery Podiatrist
1149-25
WI
Other
Enumeration date
03/31/2015
Last updated
12/29/2021
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