Philip M Marden Md Sc
Pediatrics
Philip M Marden Md Sc is a Oconomowoc, Wisconsin based Pediatric center with medical specialization in
General Pediatrics.
It is located at
340 Summit Avenue, Oconomowoc, Wisconsin - 53066-3747. They can be contacted on phone at
262-567-0366 and fax number 262-567-0368.
NPI number (Unique professional ID) for Philip M Marden Md Sc is
1700996576 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 06 Dec, 2012.
Philip M Marden Md Sc license number is
14664 for Pediatrics (208000000X) in Wisconsin.
Philip M Marden Md Sc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Philip M Marden Md Sc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Philip M Marden Md Sc |
|---|
Business Address:
Philip M Marden Md Sc 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 : | 340 Summit Avenue
Oconomowoc, WI, 53066-3747
United States |
|---|
| Phone Number : | 262-567-0366 |
|---|
| Fax Number : | 262-567-0368 |
|---|
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 : | 1700996576 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 30 Aug, 2006 |
|---|
| Last Updated On : | 06 Dec, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Philipmanuel Marden |
|---|
| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 262-667-0366 |
|---|
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 Philip M Marden Md Sc are as mentioned. Primary taxonomy code for Philip M Marden Md Sc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207KA0200X | Allergy & Immunology Allergy | No | 14664 | WI |
| 207Q00000X | Family Medicine | No | 14664 | WI |
| 208000000X | Pediatrics | Yes | 14664 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Philip M Marden Md Sc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| =========019 | Other | | BLUE CROSS AND COMPCARE |
| 213688 | Other | | ONE HEALTH PLAN |
| MARDENPHI | Other | | MERCYCARE HEALTH PLANS |
| 718112 | Other | | MANAGED HEALTH SERVICES |
| 14664 | Other | | MEDICAL LICENSE |
| W003437 | Other | | CHAMPUS |
| 112760524654 | Other | | HUMANA |
| 52D0388538 | Other | | CLIA CERTIFICATE |
| 4308968 | Other | | AETNA |
| =========ZO | Other | | UNITY HEALTH INSURANCE |
| 1000283 | Other | | PHYSICIANS PLUS INSURANCE |
| 1200110 | Other | | UNITED HEALTH CARE |
| 12659 | Other | | DEAN HEALTH PLAN |
| =========A | Other | | HUMANA |
| AS68366510001 | Other | | CIGNA |
| 31212300 | 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 : | 340 Summit Avenue
Oconomowoc, WI, 53066-3747
United States |
|---|
| Phone Number : | 262-567-0366 |
|---|
| Fax Number : | 262-567-0368 |
|---|
Business Location:
Patients can refer following map for directions to
Philip M Marden Md Sc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.