Mark Aeppli Van Etten in Spooner - Geriatric Medicine
Mark Aeppli Van Etten - NPI 1568480614
Mark Aeppli Van Etten is a Geriatric Medicine in Spooner, Wisconsin. Mark Aeppli Van Etten practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark Aeppli Van Etten is 1568480614. The last update date is 2011-05-09.
Mark Aeppli Van Etten's current location address is 707 Ash St, Spooner, Wisconsin. You can contact this provider via phone number 7156352151 and fax number 7156358768. The mailing address for Mark Aeppli Van Etten is 707 Ash St, Spooner, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Aeppli Van Etten |
|---|---|
| Address | 707 Ash St, Spooner, Wisconsin |
| Phone Number | 7156352151 |
| Fax Number | 7156358768 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1568480614 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-05-09 |
Provider Mailing Address Detail
| Address | 707 Ash St |
|---|---|
| City | Spooner |
| State | Wisconsin (WI) |
| Post Code | 548011234 |
| Phone Number | 7156352151 |
| Fax Number | 7156358768 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | 25178-020 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30518900 | WI | -- |
Post Comment/ Review Below
What is the Mark Aeppli Van Etten's unique identification number?
The Mark Aeppli Van Etten has been assigned the NPI (National Provider Identifier) Number 1568480614 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 street address where Mark Aeppli Van Etten is physically located?
The Mark Aeppli Van Etten is physically situated at the following address: 707 Ash St, Spooner, WI, 548011234.
What is the Mark Aeppli Van Etten's area of specialization and corresponding taxonomy classification?
The Mark Aeppli Van Etten's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568480614 to Mark Aeppli Van Etten?
The Centers for Medicare & Medicaid Services originally issued the 1568480614 to Mark Aeppli Van Etten on 2006-07-17.
When was the information regarding Mark Aeppli Van Etten, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Aeppli Van Etten, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-05-09.