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
Address 3200 E Racine St, Janesville, Wisconsin
Phone Number 6083718000
Fax Number 6083718919
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750325155
Provider Enumeration Date 2006-06-15
Last Updated Date 2020-11-03

Provider Mailing Address Detail

Address 3200 E Racine St
City Janesville
State Wisconsin (WI)
Post Code 535462343
Phone Number 6083718000
Fax Number 6083718919

Provider's Primary Taxonomy Detail

Speciality Pediatrics
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 --

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FAQs about Mark C Boettcher

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.

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