Mark W Mewissen in Milwaukee - Diagnostic Radiology
Mark W Mewissen - NPI 1417064999
Mark W Mewissen is a Diagnostic Radiology in Milwaukee, Wisconsin. Mark W Mewissen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark W Mewissen is 1417064999. The last update date is 2023-03-07.
Mark W Mewissen's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Mark W Mewissen is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Mewissen |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417064999 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 28722 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31410600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark W Mewissen by the Centers for Medicare & Medicaid Services (CMS)?
The Mark W Mewissen has been assigned the NPI (National Provider Identifier) 1417064999. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mark W Mewissen's facilities are situated?
The facilities of Mark W Mewissen are physically located at the following address: 3301 W Forest Home Ave, Milwaukee, WI, 532152843.
What is the Mark W Mewissen's specialty and taxonomy code?
The Mark W Mewissen's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did Mark W Mewissen receive its 1417064999 assignment from the Centers for Medicare & Medicaid Services?
The Mark W Mewissen was assigned its 1417064999 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark W Mewissen's information last updated?
The Mark W Mewissen's information was last updated on 2023-03-07.
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