| C Harold Mork, MD | |
| 1300 South Dr., Winnebago, WI 54985-0009 | |
| (920) 235-4910 | |
| (920) 236-2931 | 
| Full Name | C Harold Mork | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1300 South Dr., Winnebago, Wisconsin | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134289986 | NPI | - | NPPES | 
| 30381600 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 23667 (Wisconsin) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| C Harold Mork, MD 1300 South Dr., Winnebago, WI 54985-0009 Ph: (920) 235-4910 | C Harold Mork, MD 1300 South Dr., Winnebago, WI 54985-0009 Ph: (920) 235-4910 | 
| Alejandro A Eisma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago Mental Health Institute, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
| Dr. Nikolo C Quinones, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2043 |