Individual
DR. PETER H. MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1969 W. HART ROAD, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-2298
(608) 364-5011
(608) 364-5593
Mailing address
1969 W. HART ROAD, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-2298
(608) 364-5011
(608) 364-5593
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-060891
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45518-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060891
—
IL
05
—
1558327320
—
WI
Enumeration date
04/21/2006
Last updated
02/27/2013
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