Mark J. Dykstra is a Urology in Milwaukee, Wisconsin. Mark J. Dykstra practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark J. Dykstra is 1083646772. The last update date is 2021-12-02.
Mark J. Dykstra's current location address is 3003 W Good Hope Rd, Milwaukee, Wisconsin. You can contact this provider via phone number 4143523100. The mailing address for Mark J. Dykstra is 3003 W Good Hope Rd, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Dykstra |
|---|---|
| Address | 3003 W Good Hope Rd, Milwaukee, Wisconsin |
| Phone Number | 4143523100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083646772 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 3003 W Good Hope Rd |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532092042 |
| Phone Number | 4143523100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 43757 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34132500 | WI | -- | |
| P00462688 | WI | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark J. Dykstra by the Centers for Medicare & Medicaid Services?
The Mark J. Dykstra has been assigned the NPI (National Provider Identifier) 1083646772 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 J. Dykstra is geographically located?
The Mark J. Dykstra is physically situated at the following location: 3003 W Good Hope Rd, Milwaukee, WI, 532092042.
What is Mark J. Dykstra's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark J. Dykstra is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083646772 to Mark J. Dykstra?
The Centers for Medicare & Medicaid Services originally issued the 1083646772 to Mark J. Dykstra on 2006-07-06.
As of what date were the Mark J. Dykstra's details last updated?
The information pertaining to the Mark J. Dykstra, including its address, specialty, and other details, was most recently updated on 2021-12-02.