Individual
MARK EDWARD SPEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 930-7147
Mailing address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5281-024
WI
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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