Mark W Niedfeldt, Md, Llc

LBN: Mark W Niedfeldt, Md, Llc
Mark W Niedfeldt, Md, Llc is an health care organization with primary practice located at 10556 N Port Washington Rd Ste 101, Mequon WI 53092-5586. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mark W Niedfeldt, Md, Llc can be contacted via phone (262) 643-4720, or through Niedfeldt, Mark W via phone (262) 643-4720.

Contact Information

Primary practice address
10556 N Port Washington Rd Ste 101 Mequon WI 53092-5586
Phone: (262) 643-4720
Fax: (262) 643-4721
Website:
Map and Directions
Authorized official contact:
Name: Niedfeldt, Mark W Doctor of Medicine (MD)
Phone: (262) 643-4720

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35201 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35201 Wisconsin

Profile Details

NPI number 1174764906
LBN Legal business name Mark W Niedfeldt, Md, Llc
DBA Doing business as
Authorized official Niedfeldt, Mark W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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