Philip M Marden Md Sc
LBN: Philip M Marden Md Sc
Philip M Marden Md Sc is an health care organization with primary practice located at 123 Hospital Drive Suite 212, Watertown WI 53098-3336. The organization 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 the primary health care specialty.
Philip M Marden Md Sc can be contacted via phone (920) 261-3898, or through Marden, Philip M via phone (262) 567-0366.
Contact Information
Primary practice address
123 Hospital Drive Suite 212
Watertown WI 53098-3336
Phone: (920) 261-3898
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 | 1073652525 |
---|---|
LBN Legal business name | Philip M Marden Md Sc |
DBA Doing business as | |
Authorized official | Marden, Philip M Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Dec 6th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073652525 | NPPES |
Wisconsin | Other | 14664 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 4308968 | ST OF WIS MEDICAL LICENSE |
Wisconsin | MEDICAID | 31212300 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 718112 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 1200110 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 12659 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 112760524654 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | MARDENPHI | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | W003437 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | AS68366510001 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 1000283 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 213688 | ST OF WIS MEDICAL LICENSE |
Wisconsin | Other | 52D0388538 | ST OF WIS MEDICAL LICENSE |
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