Mark T Duffy in Green Bay - Ophthalmic Plastic And Reconstructive Surgery

Mark T Duffy - NPI 1235167537

Mark T Duffy is a Ophthalmic Plastic And Reconstructive Surgery in Green Bay, Wisconsin. Mark T Duffy practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Mark T Duffy is 1235167537. The last update date is 2022-03-23.

Mark T Duffy's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9203277000 and fax number 9203277005. The mailing address for Mark T Duffy is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark T Duffy
Address 164 N Broadway, Green Bay, Wisconsin
Phone Number 9203277000
Fax Number 9203277005
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235167537
Provider Enumeration Date 2006-06-28
Last Updated Date 2022-03-23

Provider Mailing Address Detail

Address 164 N Broadway
City Green Bay
State Wisconsin (WI)
Post Code 543032728
Phone Number 9203277000
Fax Number 9203277005

Provider's Primary Taxonomy Detail

Speciality Ophthalmic Plastic And Reconstructive Surgery
Taxonomy 207Wx0200X
Licence No 47208
Definition:
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34564300 WI --

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FAQs about Mark T Duffy

What is the unique identification code assigned to Mark T Duffy by the Centers for Medicare & Medicaid Services?

The Mark T Duffy has been issued the NPI (National Provider Identifier) 1235167537. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark T Duffy is geographically located?

The Mark T Duffy is physically situated at the following location: 164 N Broadway, Green Bay, WI, 543032728.

What is Mark T Duffy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark T Duffy is Ophthalmic Plastic And Reconstructive Surgery, and the taxonomy code that classifies this field of practice is 207Wx0200X.

On what date did the Mark T Duffy receive the assignment of its 1235167537 from the Centers for Medicare & Medicaid Services?

The Mark T Duffy was issued its 1235167537 by the Centers for Medicare & Medicaid Services on 2006-06-28.

As of what date were the Mark T Duffy's details last updated?

The information pertaining to the Mark T Duffy, including its address, specialty, and other details, was most recently updated on 2022-03-23.

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