Individual
EDMUND LAWRENCE MARKEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 300, WAUSAU, WI 54401-4123
(715) 847-0402
(715) 847-0429
Mailing address
425 PINE RIDGE BLVD, SUITE 300, WAUSAU, WI 54401-4123
(715) 847-0402
(715) 847-0429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17315
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
17315
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
17315
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30201000
—
WI
Enumeration date
06/11/2006
Last updated
03/07/2023
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