Marden, Philip M
Marden, Philip M is an individual health care provider with primary practice located at 340 Summit Avenue , Oconomowoc WI 53066-3747. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Marden, Philip M can be contacted via phone (262) 567-0366.Contact Information
Primary practice address
340 Summit Avenue
Oconomowoc WI 53066-3747
Phone: (262) 567-0366
Fax: (262) 567-0368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 14664 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14664 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14664 | Wisconsin |
Profile Details
| NPI number | 1073659546 |
|---|---|
| LBN Legal business name | Marden, Philip M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Dec 5th, 2012 - about 12 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 | 1073659546 | NPPES |
| Other | 1000283 | PHYSICIANS PLUS INSURANCE | |
| Other | 1200110 | PHYSICIANS PLUS INSURANCE | |
| Other | AS68366510001 | PHYSICIANS PLUS INSURANCE | |
| Other | 718112 | PHYSICIANS PLUS INSURANCE | |
| Other | 52D0388538 | PHYSICIANS PLUS INSURANCE | |
| Other | 12659 | PHYSICIANS PLUS INSURANCE | |
| Other | 14664 | PHYSICIANS PLUS INSURANCE | |
| Other | 213688 | PHYSICIANS PLUS INSURANCE | |
| MEDICAID | 31212300 | PHYSICIANS PLUS INSURANCE | |
| Other | 4308968 | PHYSICIANS PLUS INSURANCE | |
| Other | MARDENPHI | PHYSICIANS PLUS INSURANCE | |
| Other | 112760524654 | PHYSICIANS PLUS INSURANCE | |
| Other | W003437 | PHYSICIANS PLUS INSURANCE |
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