Individual
DR. MARK JOSEPH PENSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
275 S MAIN ST, CLINTONVILLE, WI 54929-1604
(715) 823-2912
(715) 823-1331
Mailing address
275 S MAIN ST, P. O. BOX 266, CLINTONVILLE, WI 54929-1604
(715) 823-2912
(715) 823-1331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2292-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38833800
—
WI
01
—
391524586016
BLUE CROSS/BLUE SHIELD
WI
Enumeration date
07/07/2005
Last updated
02/21/2008
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