Individual
DR. MARK D WESTFALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(866) 313-0337
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38501-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30082900
—
WI
Enumeration date
06/13/2006
Last updated
07/09/2007
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