Philip M Marden Md Sc

NPI 1073652525 - Allergy & Immunology - 207KA0200X

NPI Details
NPI 1073652525
Enumeration Date 02/05/2007
Last Updated 12/06/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHILIP M PHILIP
Position PRESIDENT
Phone (920) 261-3898
Fax (262) 567-0368
Practice Location
123 HOSPITAL DRIVE
SUITE 212
WATERTOWN WI, 53098-3336, US
Phone (920) 261-3898
Fax (262) 567-0368
Business Location
123 HOSPITAL DRIVE
SUITE 212
WATERTOWN WI, 53098-3336, US
Phone (920) 261-3898
Fax (262) 567-0368
Toxanomy
Taxonomy Code 207KA0200X
License State Wisconsin
License Number 14664
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According to our database, Philip M Marden Md Sc NPI is 1073652525, taxonomy code is 207KA0200X and license number is 14664, license state is located at Wisconsin. Philip M Marden Md Sc physically located at 123 Hospital Drive, Watertown WI, 53098-3336. NPI Number 1033115704 has the healthcare provider type.

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1073652525 NPI number is provided on an as is basis without warranty of any kind. 1073652525 is maintained by the National Plan & Provider Enumeration System. The contents of Philip M Marden Md Sc are for informational purposes only.