Wilcox, Mark D

Wilcox, Mark D is an individual health care provider with primary practice located at 8901 W Lincoln Ave , West Allis WI 53227-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Wilcox, Mark D can be contacted via phone (414) 328-6000.

Contact Information

Primary practice address
8901 W Lincoln Ave West Allis WI 53227-2409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 33778-020 Wisconsin

Profile Details

NPI number 1669456687
LBN Legal business name Wilcox, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 23rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669456687 NPPES
Other 050033634 RAIL ROAD MEDICARE
MEDICAID 31937600 RAIL ROAD MEDICARE

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