Individual
MARK BELLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA, PA-C
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1897
(608) 873-6611
Mailing address
1446 N RANDALL AVE, JANESVILLE, WI 53545-1122
(608) 758-7215
(919) 690-3246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4882-23
WI
Other
Enumeration date
07/26/2016
Last updated
01/16/2023
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