Mark L Goelzer is a Pediatrics in Janesville, Wisconsin. Mark L Goelzer practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark L Goelzer is 1619902111. The last update date is 2014-09-23.
Mark L Goelzer's current location address is 3524 E Milwaukee St, Janesville, Wisconsin. You can contact this provider via phone number 6087567100 and fax number 6087564700. The mailing address for Mark L Goelzer is 3524 E Milwaukee St, Janesville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark L Goelzer |
|---|---|
| Address | 3524 E Milwaukee St, Janesville, Wisconsin |
| Phone Number | 6087567100 |
| Fax Number | 6087564700 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619902111 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2014-09-23 |
Provider Mailing Address Detail
| Address | 3524 E Milwaukee St |
|---|---|
| City | Janesville |
| State | Wisconsin (WI) |
| Post Code | 535461626 |
| Phone Number | 6087567100 |
| Fax Number | 6087564700 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 21490-20 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30170700 | WI | -- | |
| 1619902111 | WI | -- | |
| GOELZMAR | WI | MERCYCARE INSURANCE |
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What is the Mark L Goelzer's unique identification number?
The Mark L Goelzer has been assigned the NPI (National Provider Identifier) Number 1619902111 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark L Goelzer's physical address?
The Mark L Goelzer is physically located at 3524 E Milwaukee St, in the city of Janesville, WI, with the postal code 535461626.
What is the area of specialization for Mark L Goelzer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark L Goelzer is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
When did Mark L Goelzer receive its 1619902111 assignment?
The Mark L Goelzer was assigned its 1619902111 on 2006-07-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Mark L Goelzer last refreshed?
The information related to the Mark L Goelzer, including its address, specialty, and other relevant details, was last updated on 2014-09-23.
NPI Number: 1144225426
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