person
Mark Allen Siebrecht, DPM
Foot & Ankle Surgery Podiatrist in Marengo, Iowa
NPI 1295724243

Mark Allen Siebrecht is a Foot & Ankle Surgery Podiatrist based in Marengo, IA and is specialized in Foot & Ankle Surgery. Mark Allen Siebrecht practices in Marengo, IA and has the professional credentials of DPM. The NPI Number for Mark Allen Siebrecht is 1295724243 and holds a License No. 00701 (Iowa).

The current practice location address for Mark Allen Siebrecht is 255 W. Lucas St., Marengo, IA and can be reached out via phone at 319-741-6789 and via fax at 319-741-6791.

Location: 255 W. Lucas St., Marengo, IA, 52301-1331
person
Provider Profile Details
NPI Number
1295724243
Provider Name
Mark Allen Siebrecht
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
255 W. Lucas St., Marengo, IA, 52301-1331
Phone Number
319-741-6789
Fax Number
319-741-6791
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35111 01 IA WELLMARK PROVIDER NUMBER
2221713 05 IA
institution
Provider Business Practice Location Address Details
Address
255 W. Lucas St.
City
State
Zip
52301
Phone Number
319-741-6789
Fax Number
319-741-6791
person
Provider Business Mailing Address Details
Address
255 W. Lucas St.
City
State
Zip
52301
Phone Number
319-741-6789
Fax Number
319-741-6791
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00701 (Iowa)
Definition
Definition to come...
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