Individual
TERRANCE R MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639
(701) 567-4561
Mailing address
1100 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-6130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3393
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553685
—
IA
01
—
10777
ND BLUE CROSS
—
01
—
123993
WORKERS COMP
—
05
—
12565
—
ND
01
—
27025
SIOUX VALLEY
—
05
—
45034068812
—
NE
01
—
4999831
SD WELLMARK
—
05
—
7776040
—
SD
Enumeration date
10/02/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us