Individual
MARK JOSEPH MESHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
1407 SAINT ANDREW ST, SUITE 100, LA CROSSE, WI 54603-3301
(715) 743-5410
Mailing address
105 HEWETT ST, NEILLSVILLE, WI 54456-1911
(715) 743-6474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
706-120
WI
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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