Mark Wildgen is a Specialist in Bemidji, Minnesota. Mark Wildgen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Wildgen is 1902803539. The last update date is 2007-07-08.
Mark Wildgen's current location address is 1526 30th St Nw, Bemidji, Minnesota. You can contact this provider via phone number 2187510887. The mailing address for Mark Wildgen is 1526 30th St Nw, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wildgen |
|---|---|
| Address | 1526 30th St Nw, Bemidji, Minnesota |
| Phone Number | 2187510887 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902803539 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1526 30th St Nw |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566014133 |
| Phone Number | 2187510887 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 27217 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31530800 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark Wildgen?
The Mark Wildgen has been issued the NPI (National Provider Identifier) 1902803539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mark Wildgen?
The Mark Wildgen is situated at 1526 30Th St Nw, in the city of Bemidji, state of MN, with the zip code 566014133.
What is Mark Wildgen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Wildgen is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date was the 1902803539 assigned to Mark Wildgen?
The Mark Wildgen was issued its 1902803539 on 2005-06-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark Wildgen's information last updated?
The Mark Wildgen's information was last updated on 2007-07-08.