Dr. Philip M Marden
MD | Pediatrics | Male
Dr. Philip M Marden, MD is a Oconomowoc, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Philip M Marden is
340 Summit Avenue, Oconomowoc, Wisconsin - 53066-3747. He can be contacted on phone at
262-567-0366 and fax number 262-567-0368.
Dr. Philip M Marden is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Philip M Marden is
1073659546 which was assigned by NPPES on 30 Jan, 2007 and it was last updated on 05 Dec, 2012.
Dr. Philip M Marden license number is
14664 for Pediatrics (208000000X) in Wisconsin.
Dr. Philip M Marden 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:
Dr. Philip M Marden basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Philip M Marden |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Philip M Marden 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 |
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| Phone Number : | 262-567-0366 |
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| Fax Number : | 262-567-0368 |
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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 : | 1073659546 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jan, 2007 |
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| Last Updated On : | 05 Dec, 2012 |
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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 Dr. Philip M Marden are as mentioned. Primary taxonomy code for Dr. Philip M Marden, MD 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 Dr. Philip M Marden such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 14664 | Other | WI | ST OF WIS MEDICAL LICENSE |
| 12659 | Other | | DEAN HEALTH PLAN |
| W003437 | Other | | CHAMPUS |
| 52D0388538 | Other | | CLIA CERTIFICATE |
| AS68366510001 | Other | | CIGNA |
| MARDENPHI | Other | | MERCYCARE HEALTH PLANS |
| 213688 | Other | | ONE HEALTH PLAN |
| 112760524654 | Other | | HUMANA |
| 1200110 | Other | | UNITED HEALTHCARE |
| 4308968 | Other | | AETNA |
| 718112 | Other | | MANAGED HEALTH SERVICES |
| 1000283 | Other | | PHYSICIANS PLUS INSURANCE |
| 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 |
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| Phone Number : | 262-567-0366 |
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| Fax Number : | 262-567-0368 |
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Business Location:
Patients can refer following map for directions to
Dr. Philip M Marden practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.