Search › Wisconsin › 363A00000X
Mark Diaz, PA-C
NPI 1700370020 · on the registry since 2018
Practice
- Address
- 77 S Oakbridge Ct Apt 105
Madison, WI 53717 - Phone
- (562) 659-3459
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-20
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