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Contact Information

MARK A ALDRICH, DPM
737 DORR ST
ANTIGO, WI54409-1472
 Phone: 715-623-4710
 Fax: 715-627-2737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

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

NPI # 1235123829
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/09/2005
Last updated 07/28/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 502025
  • WI Medicaid 43208000
  • WI Other 391498774010 BLUE CROSS
  • WI Other W002277 CHAMPUS PROVIDER NUMBER
  • WI Other 5036 SECURITY HEALTH
  • WI Other 83-407 WPS PROVIDER NUMBER
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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