Individual
MARK W KEHRBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7200
Mailing address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-0501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34342
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31916300
—
WI
Enumeration date
09/07/2005
Last updated
09/02/2008
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