Individual
MARK A KLIEWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2348 COMMONWEALTH AVE, MADISON, WI 53711-1909
(087) 099-2946
Mailing address
2348 COMMONWEALTH AVE, MADISON, WI 53711-1909
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
44018
WI
2085R0202X
Diagnostic Radiology Physician
44018
WI
Other
Enumeration date
03/09/2006
Last updated
04/12/2023
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