Individual
MARK W SEMRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051
(414) 290-6720
(414) 290-6755
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 518-5052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101021412
MI
207P00000X
Emergency Medicine Physician
Primary
68247-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104245430
—
WI
Enumeration date
04/15/2014
Last updated
10/02/2019
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