Individual
MARK J CAPRIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 REED AVE, MANITOWOC, WI 54220-2026
(920) 682-8841
Mailing address
601 REED AVE, MANITOWOC, WI 54220-2026
(920) 682-8841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40650
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32549700
—
WI
Enumeration date
11/24/2006
Last updated
04/13/2015
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