Individual
GARY JOSEPH NACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1810 APPLETON ROAD, MENASHA, WI 54952
(920) 739-4226
(920) 739-7639
Mailing address
1810 APPLETON ROAD, MENASHA, WI 54952
(920) 739-4226
(920) 739-7639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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