Organization
MARK L HERRING M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L HERRING MD (PRESIDENT)
(920) 682-2747
Entity
Organization
Contact information
Practice address
1355 JOHNSTON DR, MANITOWOC, WI 54220-2131
(920) 682-2747
(920) 686-1498
Mailing address
1355 JOHNSTON DR, MANITOWOC, WI 54220-2131
(920) 682-2747
(920) 686-1498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24825
WI
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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