Individual
MARK ANDREW SPLITTGERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1218 W KILBOURN AVE STE 511, MILWAUKEE, WI 53233-1325
(414) 219-5080
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-5080
(414) 219-5090
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67709-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069193
—
WI
Enumeration date
03/23/2011
Last updated
11/02/2023
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