Southard, Mark

Southard, Mark is an individual health care provider with primary practice located at 900 W Clairmont Ave , Eau Claire WI 54701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Southard, Mark can be contacted via phone (715) 839-4151.

Contact Information

Primary practice address
900 W Clairmont Ave Eau Claire WI 54701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 45008 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 45008 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45008 Wisconsin

Profile Details

NPI number 1003868811
LBN Legal business name Southard, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 5th, 2022 - about 2 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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