Individual
MARK SCOTT HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N4231 STATE HIGHWAY 22, SHAWANO, WI 54166-6130
(715) 526-3158
(715) 526-6225
Mailing address
N4231 STATE HIGHWAY 22, SHAWANO, WI 54166-6130
(715) 526-3158
(715) 526-6225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2986
WI
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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