| Mark L Herring M.d., S.c. | |
|
1355 Johnston Dr Manitowoc WI 54220-2131 | |
| (920) 682-2747 | |
| (920) 686-1498 |
| Full Name | Mark L Herring M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1355 Johnston Dr, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Mark L Herring (PRESIDENT) |
| Authorized Official Contact | 9206822747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Herring M.d., S.c. 1355 Johnston Dr Manitowoc WI 54220-2131 Ph: (920) 682-2747 | Mark L Herring M.d., S.c. 1355 Johnston Dr Manitowoc WI 54220-2131 Ph: (920) 682-2747 |
| NPI Number | 1184922320 |
|---|---|
| Provider Enumeration Date | 03/12/2011 |
| Last Update Date | 03/12/2011 |
| Medicare PECOS PAC ID | 9638352081 |
|---|---|
| Medicare Enrollment ID | O20110323000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184922320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24825 (Wisconsin) | Primary |
| Provider Name | Mark L Herring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386766368 PECOS PAC ID: 3173706520 Enrollment ID: I20110323000537 |
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