Individual
MARK E PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
527
WI
213E00000X
Podiatrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43203100
—
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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