Individual
JAMES D NACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1421 PREMIER DR, MANKATO CLINIC @ WICKERSHAM CAMPUS, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
467
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M249NA
BCBA
MN
01
—
115548
UCARE
MN
01
—
2700675
MEDICA
MN
05
—
334225500
—
MN
01
—
41084933956001C040
CHAMPUS
—
01
—
480018348
RR MEDICARE
—
01
—
766559
AMERICAS PPO
MN
05
—
938225
—
IA
01
—
HP26034
HEALTH PARTNERS
MN
01
—
NA2951014382
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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