Individual
MARK A TWESME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2343
WI
363A00000X
Physician Assistant
9146
AZ
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/24/2008
Last updated
09/28/2022
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