Organization
MACK OCCUPATIONAL HEALTH SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS V. MACK M.D. (CEO)
(906) 424-4089
Entity
Organization
Contact information
Practice address
N528 FAIRLAND ISLAND, MENOMINEE, MI 49858
(906) 424-4089
Mailing address
2643 LIBAL STREET, GREEN BAY, WI 54301
(920) 435-1604
(920) 435-1670
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
06/03/2009
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