Individual
MARK Y NUNAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 CONTINENTIAL DRIVE, WEST BEND, WI 53095
(262) 306-2700
(262) 306-2704
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
10708-0000
NY
207RN0300X
Nephrology Physician
Primary
51858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35306400
—
WI
Enumeration date
02/25/2008
Last updated
12/13/2021
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