Physician Compare National (NPI:1134166093)

HEALTHCARE PROVIDER: DR. MARK KAMSLER

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1134166093
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648566414
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180828004324
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KAMSLER
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1005 RICHARDS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	HARTLAND
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	530298316
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2629120263
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y