Search › Wisconsin › 207QG0300X
Mark Van Etten
NPI 1568480614 · on the registry since 2006
Practice
- Address
- 707 Ash St
Spooner, WI 54801 - Phone
- (715) 635-2151
- Fax
- (715) 635-8768
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207QG0300X
207QG0300X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin