Midthun, Mark Alan
Midthun, Mark Alan is an sole proprietor health care provider with primary practice located at 3626 East Ave S Ste 2A , La Crosse WI 54601-7221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Midthun, Mark Alan can be contacted via phone (608) 787-6411.Contact Information
Primary practice address
3626 East Ave S Ste 2A
La Crosse WI 54601-7221
Phone: (608) 787-6411
Fax: (608) 787-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 49571 | Minnesota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 3717 | South Dakota |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 50549-020 | Wisconsin |
Profile Details
| NPI number | 1487721791 |
|---|---|
| LBN Legal business name | Midthun, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Mar 30th, 2020 - about 4 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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