DR. THOMAS VAL MACK MD
NPI 1417987470
General Practice in Marinette, WI

Active since July 04, 2006
4061 OLD PESHTIGO RD, MARINETTE, WI 54143(715) 732-8090(715) 732-8015 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Val Mack Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS VAL MACK MD (NPI 1417987470) is an individual general practice provider in Marinette, Wisconsin, licensed in Wisconsin (21285-20) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417987470
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THOMAS VAL MACKCredential: MD
Location Address4061 OLD PESHTIGO RDMarinette, WI 54143-3887
Mailing Address3003 University DrMarinette, WI 54143-4110 · (715) 735-1737 · Fax (715) 735-1794
Fax(715) 732-8015
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 17, 2018
NPI 1417987470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in WI · 21285-20
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4061 OLD PESHTIGO RD, Marinette, WI 54143

Other Identifiers 2

Medicaid30126200WI
OtherP01529036Medicare Railroad

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Internal Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Social Worker (Clinical)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Clinic/Center (Ambulatory Surgical)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Radiology (Diagnostic Radiology)
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Physical Therapist
4061 OLD PESHTIGO RD
MARINETTE, WI 54143
Family Medicine
4061 OLD PESHTIGO RD
MARINETTE, WI 54143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Mack's NPI number?

The NPI number for Thomas Mack is 1417987470. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Thomas Mack located?

Thomas Mack practices at 4061 Old Peshtigo Rd, Marinette, WI 54143. The listed phone number is (715) 732-8090.

What is Thomas Mack's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Thomas Mack was last updated on October 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.