Individual
MARK ALAN LAUKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
(920) 429-1799
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 429-1799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35834
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32062200
—
WI
Enumeration date
07/09/2006
Last updated
07/28/2008
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