Faustich, Mark W
Faustich, Mark W is an individual health care provider with primary practice located at 1531 S Madison St , Appleton WI 54915-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Faustich, Mark W can be contacted via phone (920) 730-4413.Contact Information
Primary practice address
1531 S Madison St
Appleton WI 54915-1800
Phone: (920) 730-4413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 27201 | Wisconsin |
Profile Details
| NPI number | 1083608848 |
|---|---|
| LBN Legal business name | Faustich, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Aug 30th, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083608848 | NPPES |
| Wisconsin | MEDICAID | 30732500 |
Popular Providers
-
Kaldas, Rami S.
701 S Nicolet Rd , Appleton WI 54914-8273 -
Meyer, Kathryn M
1531 S Madison St , Appleton WI 54915-1800 -
Hubert, Paula R
1531 S Madison St 3Rd Floor, Appleton WI 54915-1800 -
Wagener, Christopher W
1531 S Madison St , Appleton WI 54915-1800 -
Reeb-Alba, Cathy A
1531 S Madison St , Appleton WI 54915-1800 -
Sreenarasimhaiah, Sreedevi
2501 E Enterprise Ave Suite 200, Appleton WI 54913-7805 -
Honkamp, Jill T
1818 N Meade St , Appleton WI 54911-3454 -
Williams, Briana M
3232 N Ballard Rd Ste 100 , Appleton WI 54911-8804