Individual
DEBRA K MARKWARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2839820
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25487
SECURITY HEALTH MEDICAID
WI
01
—
31611800
MANAGED HEALTH CARE
WI
05
—
31611800
—
WI
01
—
MARKWARDT
WPS
WI
Enumeration date
07/24/2006
Last updated
07/09/2007
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