Mark Aeppli Van Etten (NPI# 1568480614, PAC ID# 5597668335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1568480614 |
| PAC ID by PECOS | 5597668335 |
| Professional Enrollment ID | I20100416000737 |
| Full Name | Mark Aeppli Van Etten |
| Organization Legal Name | ST MARYS HOSPITAL OF SUPERIOR |
| Address |
1180 Chandler Dr Spooner WI 54801-2204 |
| Phone Number | 7156352151 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8628964228 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521332 | SPOONER HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1180 Chandler Dr, Spooner, WI 54801-2204 | 7156352151 | ST MARYS HOSPITAL OF SUPERIOR |
| Organization Legal Name | ST MARYS HOSPITAL OF SUPERIOR |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren William Perttu | General Surgery | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Matthew J Luedke | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Vincentiu Andrei | General Surgery | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| David Lee Brucher | Physician Assistant | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Michael John Sterns | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Jean Elise Hoyer | Family Medicine | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Steven Joseph Squillace | Gastroenterology | St Marys Hospital of Superior | 3500 Tower Ave, Superior, WI 54880-5335 |
| Bruce Edward Bray | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| John R Mckevett | Family Medicine | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Janet Kay Cismoski Martens | Nurse Practitioner | St Marys Hospital of Superior | 11134 N State Rd, Suite 77, Hayward, WI 54843-5325 |
| Street Address |
1180 CHANDLER DR |
| City | SPOONER |
| State | WI |
| Zip | 54801-2204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darren William Perttu | General Surgery | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Bruce Edward Bray | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Sandra Kay Anderson | Physician Assistant | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Samantha Joy Rhode | Nurse Practitioner | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Megan Mackie Popp | Physical Medicine and Rehabilitation | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Beverly Jean Bohac | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Holly Kay Barrett | Nurse Practitioner | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Tina Marie Walman | Nurse Practitioner | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Laura Lynne Boehlke Bray | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Jeffrey Edwin Eichten | Family Medicine | St Marys Hospital of Superior | 1180 Chandler Dr, Spooner, WI 54801-2204 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie D Thornburg | Optometry | Thomas Eric Herzog Inc | W7164 Green Valley Rd, Spooner, WI 54801 |
| Lyle L Lauritsen | Chiropractic | 214 Spruce St, Spooner, WI 54801-1149 | |
| Timothy John Wolter | Family Practice | The Duluth Clinic Ltd | 707 Ash St, Spooner, WI 54801-1234 |
| Ann E Marchetta | Nurse Practitioner | The Duluth Clinic Ltd | 707 Ash St, Spooner, WI 54801-1234 |
| Nathan K Eichhorst | Optometry | Spooner Eye Care Sc | 130 Walnut St, Spooner, WI 54801-1319 |
| Amy M Greenfield | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
| Anna Lang | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
| Paul E Niemuth | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
| Aleisha J Janssen | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
| Randy O Larson | Chiropractic | 410 N River St, Spooner, WI 54801-1495 | |
| Find all physicians in zip 54801 | |||
| City | SPOONER |
| Zip Code | 54801 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPOONER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Aeppli Van Etten.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.