Individual
MARK A WIKENHEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Mailing address
800 WEST AVE S, LA CROSSE, WI 54601-8806
(608) 392-9876
(608) 392-3955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40564
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07246WI
BCBS MN HOSP
MN
01
—
072J6WI
BCBS MN PRO FEE
MN
01
—
0900551
MEDICA
MN
01
—
1004260
PREFERRED ONE
WI
05
—
32555900
—
WI
05
—
493363000
—
MN
01
—
HP14690
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
07/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us