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Individual

DR. MARK OBERMYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600
Mailing address
21700 INTERTECH DR, SPRINGDALE HEALTH CENTER, BROOKFIELD, WI 53045-5197
(262) 532-8300
(262) 532-8600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118405
IL
207R00000X
Internal Medicine Physician
Primary
51868
WI
208000000X
Pediatrics Physician
036118405
IL
208000000X
Pediatrics Physician
51868
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669634820
WI
Enumeration date
06/30/2008
Last updated
07/10/2012
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