Search › Wisconsin › 207Q00000X
Mark Wirtz
NPI 1063772275 · on the registry since 2012
Practice
- Address
- 100 N Nine Mound Rd
Verona, WI 53593 - Phone
- (608) 845-9531
- Organisation at this address
- University Of Wisconsin Medical Foundation Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- IA, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin