MARK W NIEDFELDT, MD, LLC
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1174764906- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 10556 N PORT WASHINGTON RD STE 101, MEQUON, WI, 530925586
- Phone
- (262) 643-4720
- Fax
- (262) 643-4721
Specialties & Taxonomies
Family Medicine, Sports Medicine
License: WI #35201
Family Medicine
Primary License: WI #35201