Zellmer, Mark R

Zellmer, Mark R is an individual health care provider with primary practice located at 18606 Ervin St , Whitehall WI 54773-8613. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Zellmer, Mark R can be contacted via phone (715) 538-4355.

Contact Information

Primary practice address
18606 Ervin St Whitehall WI 54773-8613
Phone: (715) 538-4355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8874 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 507 Wisconsin

Profile Details

NPI number 1023013364
LBN Legal business name Zellmer, Mark R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023013364 NPPES
Minnesota MEDICAID 874650800
Minnesota MEDICAID 42918400

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