Individual provider · Type 1 NPI

Tiffany L. Mack, PA

Medical Physician Assistant · Madison, WI

NPI number 1083678692 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 263-7203 Map

Fax (608) 262-5624

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1922-023 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1083678692

Tiffany L. Mack, PA's National Provider Identifier is 1083678692, issued on Apr 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Feb 22, 2018.