Individual
MARK J BIAGTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 S PARK ST, MADISON, WI 53715
(608) 287-2600
(608) 287-2610
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
54168
WI
208000000X
Pediatrics Physician
54168
WI
2080P0201X
Pediatric Allergy/Immunology Physician
54168
WI
Other
Enumeration date
07/18/2008
Last updated
01/14/2021
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