Individual
MR. MARK K PIEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1100 GATEWAY COURT, WEST BEND, WI 53095
(262) 306-6100
Mailing address
143 W PARADISE DR, WEST BEND, WI 53095-5001
(262) 483-8635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6300-024
WI
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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