Mark William Teismann PH.D.

NPI 1083820419 - Social Worker - 1041C0700X

NPI Details
NPI 1083820419
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5608 N 2ND ST
LOVES PARK IL, 61111-4689, US
Phone (815) 282-6730
Fax
Business Location
5608 N 2ND ST
LOVES PARK IL, 61111-4689, US
Phone (815) 282-6730
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Wisconsin
License Number 3236-123
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According to our database, Dr. Mark William Teismann PH.D. NPI is 1083820419, taxonomy code is 1041C0700X and license number is 3236-123, license state is located at Wisconsin. Mark William Teismann PH.D. physically located at 5608 N 2nd St, Loves Park IL, 61111-4689. NPI Number Mark William Teismann PH.D. has the Individual type.

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1083820419 NPI number is provided on an as is basis without warranty of any kind. 1083820419 is maintained by the National Plan & Provider Enumeration System. The contents of Mark William Teismann PH.D. are for informational purposes only.