Stannard, Mark D
Stannard, Mark D is an individual health care provider with primary practice located at 2651 Hillcrest Drive , Hudson WI 54016-4439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stannard, Mark D can be contacted via phone (715) 531-6800.Contact Information
Primary practice address
2651 Hillcrest Drive
Hudson WI 54016-4439
Phone: (715) 531-6800
Fax: (715) 531-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42574 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39942 | Wisconsin |
Profile Details
| NPI number | 1700858933 |
|---|---|
| LBN Legal business name | Stannard, Mark D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 31st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700858933 | NPPES |
| Wisconsin | MEDICAID | 32437900 |
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