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NPI Code Detail

MEDICARE: MARK S PERPICH MD

MEDICARE: MARK S PERPICH 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
1207X00000XOrthopaedic Surgery Physician21806WI

General Provider Information

NPI Number : 1932197100
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK S PERPICH MD
Provider Business Mailing Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Provider Business Practice Location Address
First Line : 610 E TAYLOR ST
Second Line :
City : PRAIRIE DU CHIEN
State : WI
Zip : 53821-2109
Country : US
Telephone Number : 608-326-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 05/15/2015

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