Philip M Marden is a Allergy in Oconomowoc, Wisconsin. Philip M Marden practices all healthcare services and medical treatments related to Allergy. The NPI Number for Philip M Marden is 1073659546. The last update date is 2012-12-05.
Philip M Marden's current location address is 340 Summit Avenue, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625670366 and fax number 2625670368. The mailing address for Philip M Marden is 340 Summit Avenue, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip M Marden |
|---|---|
| Address | 340 Summit Avenue, Oconomowoc, Wisconsin |
| Phone Number | 2625670366 |
| Fax Number | 2625670368 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073659546 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | 340 Summit Avenue |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 530663747 |
| Phone Number | 2625670366 |
| Fax Number | 2625670368 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 14664 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000283 | PHYSICIANS PLUS INSURANCE | ||
| 1200110 | UNITED HEALTHCARE | ||
| AS68366510001 | CIGNA | ||
| 718112 | MANAGED HEALTH SERVICES | ||
| 52D0388538 | CLIA CERTIFICATE | ||
| 12659 | DEAN HEALTH PLAN | ||
| 14664 | WI | ST OF WIS MEDICAL LICENSE | |
| 213688 | ONE HEALTH PLAN | ||
| 31212300 | WI | -- | |
| 4308968 | AETNA |
Post Comment/ Review Below
What is the Philip M Marden's unique identification number?
The Philip M Marden has been assigned the NPI (National Provider Identifier) Number 1073659546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Philip M Marden?
The Philip M Marden is physically situated at 340 Summit Avenue, in the city of Oconomowoc, state of WI, with the postal code 530663747.
What is Philip M Marden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Philip M Marden's area of specialization is Allergy, and the corresponding taxonomy code that categorizes this field of practice is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073659546 to Philip M Marden?
The Centers for Medicare & Medicaid Services assigned the 1073659546 to Philip M Marden on 2007-01-30.
As of what date were the Philip M Marden's details last updated?
The information pertaining to the Philip M Marden, including its address, specialty, and other details, was most recently updated on 2012-12-05.
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