MARK OTTO WEISSE

MADISON, WI
NPI1154305761
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  20893)
Enumeration Date2005-12-06
Last Update Date2007-07-08
Business Address
-- MARK OTTO WEISSE MD
115 W DOTY ST PHS MEDICAL OFFICE
MADISON, WI 53703-3276
Phone number: 608-284-6071
Mailing Address
-- MARK OTTO WEISSE MD
5391 MARINERS COVE DR UNIT 202
MADISON, WI 53704-7615
Phone number: 608-241-5429
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