Mark Glen Cleveland in Manitowoc - Mohs-micrographic Surgery
Mark Glen Cleveland - NPI 1720086523
Mark Glen Cleveland is a Mohs-micrographic Surgery in Manitowoc, Wisconsin. Mark Glen Cleveland practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Mark Glen Cleveland is 1720086523. The last update date is 2021-02-15.
Mark Glen Cleveland's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Mark Glen Cleveland is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Glen Cleveland |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | Y |
| Credentials | MD PHD |
NPI Number Detail
| NPI Number | 1720086523 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2021-02-15 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 31130 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
|
Post Comment/ Review Below
What is the Mark Glen Cleveland's 1720086523?
The Mark Glen Cleveland's NPI (National Provider Identifier) Number is 1720086523. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Glen Cleveland's facilities are geographically located?
The facilities of Mark Glen Cleveland are physically situated at the following location: 801 York St, Manitowoc, WI, 542204630.
What is Mark Glen Cleveland's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Glen Cleveland's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
On what date was the 1720086523 assigned to Mark Glen Cleveland?
The Mark Glen Cleveland was issued its 1720086523 on 2005-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Glen Cleveland most recently updated?
The details pertaining to the Mark Glen Cleveland, including its address, specialty, and other relevant information, were last refreshed on 2021-02-15.