Duffy, Mark T

Duffy, Mark T is an individual health care provider with primary practice located at 2253 W Mason St , Green Bay WI 54303-4706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Duffy, Mark T can be contacted via phone (920) 327-7000.

Contact Information

Primary practice address
2253 W Mason St Green Bay WI 54303-4706
Phone: (920) 327-7000
Fax: (920) 327-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 47208 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 47208 Wisconsin

Profile Details

NPI number 1235167537
LBN Legal business name Duffy, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 9th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235167537 NPPES
Wisconsin MEDICAID 34564300

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