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1831193416

NPI Code Detail

MEDICARE: MARK L SAXTON MD

MEDICARE: MARK L SAXTON MD

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
1	208600000X	Surgery Physician	34271	MN
2	208600000X	Surgery Physician	036131248	IL
3	2086S0120X	Pediatric Surgery Physician	01080013A	IN
4	208600000X	Surgery Physician	MD471525	PA
5	208600000X	Surgery Physician	47577	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831193416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK L SAXTON MD

Provider Business Mailing Address
First Line	:	N1675 LOST RIDGE RD
Second Line	:
City	:	LA CROSSE
State	:	WI
Zip	:	54601-2581
Country	:	US
Telephone Number	:	608-799-4174
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 E ERIE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-1011
Country	:	US
Telephone Number	:	215-427-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	06/15/2023

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Directions to “ MARK L SAXTON MD” Practice Location

Language	Start Address	Practice Location

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