Mark C Boettcher in Janesville - Pediatrics
Mark C Boettcher - NPI 1750325155
Mark C Boettcher is a Pediatrics in Janesville, Wisconsin. Mark C Boettcher practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark C Boettcher is 1750325155. The last update date is 2020-11-03.
Mark C Boettcher's current location address is 3200 E Racine St, Janesville, Wisconsin. You can contact this provider via phone number 6083718000 and fax number 6083718919. The mailing address for Mark C Boettcher is 3200 E Racine St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark C Boettcher |
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Address | 3200 E Racine St, Janesville, Wisconsin |
Phone Number | 6083718000 |
Fax Number | 6083718919 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1750325155 |
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Provider Enumeration Date | 2006-06-15 |
Last Updated Date | 2020-11-03 |
Provider Mailing Address Detail
Address | 3200 E Racine St |
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City | Janesville |
State | Wisconsin (WI) |
Post Code | 535462343 |
Phone Number | 6083718000 |
Fax Number | 6083718919 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 33859-020 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1750325155 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark C Boettcher by the Centers for Medicare & Medicaid Services?
The Mark C Boettcher has been assigned the NPI (National Provider Identifier) 1750325155 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mark C Boettcher is geographically located?
The Mark C Boettcher is physically situated at the following location: 3200 E Racine St, Janesville, WI, 535462343.
What is Mark C Boettcher's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark C Boettcher's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Mark C Boettcher receive the assignment of its 1750325155 from the Centers for Medicare & Medicaid Services?
The Mark C Boettcher was issued its 1750325155 by the Centers for Medicare & Medicaid Services on 2006-06-15.
As of what date was the information regarding Mark C Boettcher, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark C Boettcher, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-11-03.