Markus, Stan L

Markus, Stan L is an individual health care provider with primary practice located at 888 Thackeray Trl Ste 103 , Oconomowoc WI 53066-4342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Markus, Stan L can be contacted via phone (262) 567-1499.

Contact Information

Primary practice address
888 Thackeray Trl Ste 103 Oconomowoc WI 53066-4342
Phone: (262) 567-1499
Fax: (262) 567-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 28258 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 28258 Wisconsin

Profile Details

NPI number 1134103641
LBN Legal business name Markus, Stan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Nov 29th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134103641 NPPES
Wisconsin MEDICAID 30821400

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