Hoffmann, Mark T

Hoffmann, Mark T is an individual health care provider with primary practice located at 500 Wind Ridge Dr , Wausau WI 54401-4173. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hoffmann, Mark T can be contacted via phone (715) 847-2611.

Contact Information

Primary practice address
500 Wind Ridge Dr Wausau WI 54401-4173
Phone: (715) 847-2611
Fax: (715) 847-2465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35269 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35269 Wisconsin

Profile Details

NPI number 1356342034
LBN Legal business name Hoffmann, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Oct 21st, 2016 - about 9 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 1356342034 NPPES
Wisconsin MEDICAID 32014700

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