Individual
MR. MARK ANDREW PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
E13616 IDLEWILD RD, MERRIMAC, WI 53561-9556
(608) 493-2533
Mailing address
E13616 IDLEWILD RD, MERRIMAC, WI 53561-9556
(608) 493-2533
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
130297030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35071300
—
WI
Enumeration date
07/27/2009
Last updated
07/27/2009
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