Mark W Bertagnoli
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Mark W Bertagnoli, M.D. is a Green Bay, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Mark W Bertagnoli is
835 S Van Buren St, Green Bay, Wisconsin - 54301-3526. He can be contacted on phone at
920-433-8360.
Mark W Bertagnoli is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark W Bertagnoli is
1669443610 which was assigned by NPPES on 29 Jan, 2006 and it was last updated on 08 Jul, 2007.
Mark W Bertagnoli license number is
40649-020 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Wisconsin.
Mark W Bertagnoli is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mark W Bertagnoli basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Mark W Bertagnoli |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mark W Bertagnoli address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 835 S Van Buren St
Green Bay, WI, 54301-3526
United States |
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| Phone Number : | 920-433-8360 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669443610 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jan, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark W Bertagnoli are as mentioned. Primary taxonomy code for Mark W Bertagnoli, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 40649-020 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Mark W Bertagnoli such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 4094435 | MEDICAID | MI | |
| 32539200 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1446
Green Bay, WI, 54305-1446
United States |
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| Phone Number : | 920-983-9401 |
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| Fax Number : | 920-983-9402 |
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Business Location:
Patients can refer following map for directions to
Mark W Bertagnoli practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.