Individual
MARK L TOMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 258-5222
Mailing address
700 S PARK ST, MADISON, WI 53715-1849
(608) 251-6100
(608) 258-5222
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22555-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1398
DEAN HEALTH INSURANCE
WI
05
—
30273000
—
WI
Enumeration date
05/08/2006
Last updated
06/27/2012
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