Kleedehn, Mark
Kleedehn, Mark is an individual health care provider with primary practice located at 202 S Park St , Madison WI 53715-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kleedehn, Mark can be contacted via phone (608) 417-6090.Contact Information
Primary practice address
202 S Park St
Madison WI 53715-1507
Phone: (608) 417-6090
Fax: (608) 417-6281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 58838 | Wisconsin |
Profile Details
| NPI number | 1508187964 |
|---|---|
| LBN Legal business name | Kleedehn, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2010 |
| Last updated | Jan 21st, 2021 - about 3 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.
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