Mark S Kermgard in Fond Du Lac - Emergency Medicine
Mark S Kermgard - NPI 1023094885
Mark S Kermgard is a Emergency Medicine in Fond Du Lac, Wisconsin. Mark S Kermgard practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark S Kermgard is 1023094885. The last update date is 2022-08-16.
Mark S Kermgard's current location address is 145 N Main St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268492 and fax number 9209268903. The mailing address for Mark S Kermgard is 145 N Main St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark S Kermgard |
|---|---|
| Address | 145 N Main St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268492 |
| Fax Number | 9209268903 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023094885 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2022-08-16 |
Provider Mailing Address Detail
| Address | 145 N Main St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353423 |
| Phone Number | 9209268492 |
| Fax Number | 9209268903 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 34936020 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36091592 | IL | -- | |
| 31984300 | WI | -- | |
| 1023094885 | WI | BLUE SHIELD |
Post Comment/ Review Below
What is the Mark S Kermgard's 1023094885?
The Mark S Kermgard's NPI (National Provider Identifier) Number is 1023094885. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark S Kermgard is located?
The Mark S Kermgard is situated at the following address: 145 N Main St, Fond Du Lac, WI, 549353423.
What is the Mark S Kermgard's specialty and taxonomy code?
The Mark S Kermgard's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023094885 to Mark S Kermgard?
The Mark S Kermgard received its 1023094885 assignment from the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the Mark S Kermgard's information last updated?
The Mark S Kermgard's information was last updated on 2022-08-16.