Philip M Marden Md Sc

LBN: Philip M Marden Md Sc
Philip M Marden Md Sc is an health care organization with primary practice located at 123 Hospital Drive Suite 212, Watertown WI 53098-3336. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Philip M Marden Md Sc can be contacted via phone (920) 261-3898, or through Marden, Philip M via phone (262) 567-0366.

Contact Information

Primary practice address
123 Hospital Drive Suite 212 Watertown WI 53098-3336
Phone: (920) 261-3898
Fax: (262) 567-0368
Website:
Map and Directions
Authorized official contact:
Name: Marden, Philip M Doctor of Medicine (MD)
Phone: (262) 567-0366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 14664 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14664 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14664 Wisconsin

Profile Details

NPI number 1073652525
LBN Legal business name Philip M Marden Md Sc
DBA Doing business as
Authorized official Marden, Philip M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Dec 6th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073652525 NPPES
Wisconsin Other 14664 ST OF WIS MEDICAL LICENSE
Wisconsin Other 4308968 ST OF WIS MEDICAL LICENSE
Wisconsin MEDICAID 31212300 ST OF WIS MEDICAL LICENSE
Wisconsin Other 718112 ST OF WIS MEDICAL LICENSE
Wisconsin Other 1200110 ST OF WIS MEDICAL LICENSE
Wisconsin Other 12659 ST OF WIS MEDICAL LICENSE
Wisconsin Other 112760524654 ST OF WIS MEDICAL LICENSE
Wisconsin Other MARDENPHI ST OF WIS MEDICAL LICENSE
Wisconsin Other W003437 ST OF WIS MEDICAL LICENSE
Wisconsin Other AS68366510001 ST OF WIS MEDICAL LICENSE
Wisconsin Other 1000283 ST OF WIS MEDICAL LICENSE
Wisconsin Other 213688 ST OF WIS MEDICAL LICENSE
Wisconsin Other 52D0388538 ST OF WIS MEDICAL LICENSE

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