Mork, Tiffany Laura

Mork, Tiffany Laura is an individual health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Mork, Tiffany Laura can be contacted via phone (262) 253-5400.

Contact Information

Primary practice address
W129N7055 Northfield Dr Menomonee Falls WI 53051-0538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 43034 Wisconsin

Profile Details

NPI number 1376650671
LBN Legal business name Mork, Tiffany Laura
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Feb 19th, 2019 - about 7 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 1376650671 NPPES
Wisconsin MEDICAID 34661800

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