Mark Wolverton is a Family Medicine in Fairmont, Minnesota. Mark Wolverton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Wolverton is 1174500888. The last update date is 2007-07-09.
Mark Wolverton's current location address is 800 Medical Center Dr, Fairmont, Minnesota. You can contact this provider via phone number 5072388555. The mailing address for Mark Wolverton is 800 Medical Center Dr, Fairmont, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wolverton |
|---|---|
| Address | 800 Medical Center Dr, Fairmont, Minnesota |
| Phone Number | 5072388555 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174500888 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 800 Medical Center Dr |
|---|---|
| City | Fairmont |
| State | Minnesota (MN) |
| Post Code | 560314575 |
| Phone Number | 5072388555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21418 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01-12157 | MN | MEDICA | |
| A015 | MN | CHAMPUS | |
| HP30229 | MN | HEALTHPARTNERS | |
| 22379 | MN | SIOUX VALLEY | |
| 705219 | MN | ARAZ | |
| 903294 | IA | -- | |
| 5T432WO | MN | -- | |
| MH9041000384 | MN | PREFERREDONE | |
| 6848 | MN | AVERA | |
| 116281 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark Wolverton by the Centers for Medicare & Medicaid Services?
The Mark Wolverton has been assigned the NPI (National Provider Identifier) 1174500888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mark Wolverton?
The Mark Wolverton is physically situated at 800 Medical Center Dr, in the city of Fairmont, state of MN, with the postal code 560314575.
What is Mark Wolverton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Wolverton is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174500888 to Mark Wolverton?
The Centers for Medicare & Medicaid Services originally issued the 1174500888 to Mark Wolverton on 2005-12-23.
As of what date were the details pertaining to Mark Wolverton last refreshed?
The information related to the Mark Wolverton, including its address, specialty, and other relevant details, was last updated on 2007-07-09.