Individual
MARK A ALDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
737 DORR ST, ANTIGO, WI 54409-1472
(715) 623-4710
(715) 627-2737
Mailing address
737 DORR ST, ANTIGO, WI 54409-1472
(715) 623-4710
(715) 627-2737
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
502025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391498774010
BLUE CROSS
WI
05
—
43208000
—
WI
01
—
5036
SECURITY HEALTH
WI
01
—
83-407
WPS PROVIDER NUMBER
WI
01
—
W002277
CHAMPUS PROVIDER NUMBER
WI
Enumeration date
09/09/2005
Last updated
07/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us