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 340 Summit Avenue , Oconomowoc WI 53066-3747. 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 (262) 567-0366, or through Marden, Philip Manuel via phone (262) 667-0366.

Contact Information

Primary practice address
340 Summit Avenue Oconomowoc WI 53066-3747
Phone: (262) 567-0366
Fax: (262) 567-0368
Website:
Map and Directions
Authorized official contact:
Name: Marden, Philip Manuel Doctor of Medicine (MD)
Phone: (262) 667-0366

Health care specialties

SpecialtyCodeLicense #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 1700996576
LBN Legal business name Philip M Marden Md Sc
DBA Doing business as
Authorized official Marden, Philip Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 6th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700996576 NPPES
Other AS68366510001 CIGNA
Other 112760524654 CIGNA
MEDICAID 31212300 CIGNA
Other 718112 CIGNA
Other 14664 CIGNA
Other 1200110 CIGNA
Other 52D0388538 CIGNA
Other 1000283 CIGNA
Other 12659 CIGNA
Other 213688 CIGNA
Other 4308968 CIGNA
Other W003437 CIGNA
Other MARDENPHI CIGNA

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