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1871620468
MARK MICEK
MADISON, WI
NPI
1871620468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 57345)
Enumeration Date
2007-02-28
Last Update Date
2021-03-31
Business Address
MARK MICEK MD
5249 E TERRACE DR
MADISON, WI 53718-8339
Phone number: 608-265-1200
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Mailing Address
MARK MICEK MD
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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