Individual
DR. MARK S HEBERLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
Mailing address
PO BOX 39, CASHTON, WI 54619-0039
(608) 654-5100
(608) 654-5120
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
36061
WI
207P00000X
Emergency Medicine Physician
36061
WI
207Q00000X
Family Medicine Physician
Primary
36061
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30064000
—
WI
Enumeration date
06/22/2005
Last updated
09/13/2024
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