Individual
DR. HOWARD MARK HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-5000
Mailing address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13875
ND
207RG0100X
Gastroenterology Physician
30900
WI
Other
Enumeration date
10/20/2006
Last updated
05/05/2017
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