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Individual

MARK A PHILIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
(262) 767-6098
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
(262) 767-6098

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036122532
IL
207P00000X
Emergency Medicine Physician
Primary
53736
WI

Other

Enumeration date
02/18/2009
Last updated
05/19/2022
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