Laukka, Mark Alan
Laukka, Mark Alan is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Laukka, Mark Alan can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1726 Shawano Ave
Green Bay WI 54303-3216
Phone: (920) 496-4700
Fax: (920) 429-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35834 | Wisconsin |
Profile Details
| NPI number | 1538192851 |
|---|---|
| LBN Legal business name | Laukka, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 28th, 2008 - about 17 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 | 1538192851 | NPPES |
| Wisconsin | MEDICAID | 32062200 |
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