Individual
MARK CHRISTIAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(800) 465-3203
Mailing address
3710 N OAKLAND AVE # 308, SHOREWOOD, WI 53211-2236
(315) 558-9210
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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