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Dr. Leighton Mark, MD
Neuroradiology Physician in Milwaukee, Wisconsin
NPI 1114970852

Leighton Mark is a Neuroradiology Physician based in Milwaukee, WI and is specialized in Neuroradiology. Leighton Mark practices in Milwaukee, WI and has the professional credentials of MD. The NPI Number for Leighton Mark is 1114970852 and holds a License No. 25648 (Wisconsin).

The current practice location address for Leighton Mark is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-3700 and via fax at 414-805-3777.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
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Provider Profile Details
NPI Number
1114970852
Provider Name
Leighton Mark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-3700
Fax Number
414-805-3777
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300041524 01 RAILROAD MEDICARE
002000124I 01 HUMANA
1114970852 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-3700
Fax Number
414-805-3777
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-3700
Fax Number
414-805-3777
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
25648 (Wisconsin)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
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