Mirick, Mark J
Mirick, Mark J is an individual health care provider with primary practice located at 333 Pine Ridge Blvd , Wausau WI 54401-4120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mirick, Mark J can be contacted via phone (715) 847-2121.Contact Information
Primary practice address
333 Pine Ridge Blvd
Wausau WI 54401-4120
Phone: (715) 847-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 24727 | Wisconsin |
Profile Details
| NPI number | 1528129426 |
|---|---|
| LBN Legal business name | Mirick, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1528129426 | NPPES |
| Wisconsin | MEDICAID | 30456600 |
Popular Providers
-
Ambord, Jeffrey Terrence
3901 Stewart Ave , Wausau WI 54401-3948 -
Paul, Shanna L
333 Pine Ridge Blvd , Wausau WI 54401-4102 -
Nielsen, Thomas L
333 Pine Ridge Blvd , Wausau WI 54401-4120 -
Burt, Glenn B
1901 Westwood Center Blvd , Wausau WI 54401-2892 -
Koepke, Thomas A
333 Pine Ridge Blvd , Wausau WI 54401-4120 -
Stoltze, Andrew Joseph
333 Pine Ridge Blvd , Wausau WI 54401-4102 -
Afridi, Belal Sayed
333 Pine Ridge Blvd Room # 0206, Wausau WI 54401-4120 -
Webb, John F
2727 Plaza Dr , Wausau WI 54401-4129