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Contact Information

MARK A LEIBEL, MD
600 HIGHLAND AVE
B6/319 CSC
MADISON, WI53792-3272
 Phone: 608-263-8100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK A LEIBEL · (Male)

NPI # 1689655995
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 07/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 44836
  • WI Medicaid 34251400
  • WI Other 13311 DEAN
  • WI Other WI01N2 JOHN DEERE
  • WI Other 080190901 RAILROAD MEDICARE
  • WI Other 44836 TOUCHPOINT
  • WI Other 390807236A3 UNITY
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
  • PIKES PEAK REGIONAL HOSPITAL - (Critical Access)
    16420 HIGHWAY 24
    WOODLAND PARK, CO 80863
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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