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Contact Information

MARK A WIERSCHKE, MS, LPC
319 MAIN ST.
SUITE 302
LA CROSSE, WI54601
 Phone: 608-796-1168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

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

NPI Number 1306067376
Status Active
Credentials MS, LPC
Entity Individual
Enumeration date 05/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3284-125
  • WI Medicaid 40960900
Hospital affiliation(s) Not Available
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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