Individual
DR. STAN L MARKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066-4342
(262) 567-1499
(262) 567-4502
Mailing address
888 THACKERAY TRL STE 103, OCONOMOWOC, WI 53066-4342
(262) 567-1499
(262) 567-4502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28258
WI
208C00000X
Colon & Rectal Surgery Physician
28258
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30821400
—
WI
Enumeration date
11/30/2005
Last updated
11/29/2017
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