Individual
MARK NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 738-4600
Mailing address
2500 E CAPITOL DR STE 1300, APPLETON, WI 54911-8735
(920) 738-4600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
77164-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/30/2023
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