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NPI Code Detail

MEDICARE: MARK PINKERTON

MEDICARE: MARK PINKERTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1710427315
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK PINKERTON
Provider Business Mailing Address
First Line : 25 KESSEL CT STE 105
Second Line :
City : MADISON
State : WI
Zip : 53711-6227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 FORDEM AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-4600
Country : US
Telephone Number : 608-280-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2017
Last Update Date : 03/01/2017

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Directions to “ MARK PINKERTON ” Practice Location

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