Individual
DR. GARY MARK KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3332 GLACIER RIDGE RD, MIDDLETON, WI 53562-1769
(616) 485-3271
Mailing address
3332 GLACIER RIDGE RD, MIDDLETON, WI 53562-1769
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301049297
MI
208000000X
Pediatrics Physician
Primary
67490-20
WI
Other
Enumeration date
11/21/2006
Last updated
06/09/2026
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