MARK W NIEDFELDT, MD, LLC

MEQUON, WI
NPI1174764906
Entity TypeOrganization
Authorized ContactMARK W NIEDFELDT
Owner
262-643-4720
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  35201)
Additional Taxonomies207QS0010X Family Medicine, Sports Medicine
(Licence: WI  35201)
Enumeration Date2009-03-06
Last Update Date2009-03-06
Business Address
MARK W NIEDFELDT, MD, LLC
10556 N PORT WASHINGTON RD STE 101
MEQUON, WI 53092-5586
Phone number: 262-643-4720
Mailing Address
MARK W NIEDFELDT, MD, LLC
10556 N PORT WASHINGTON RD SUITE 101
MEQUON, WI 53092-5586
Phone number: 262-643-4720
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