Philip Manuel Marden


Address: 340 Summit Ave, Oconomowoc, WI 53066-3747

Philip Manuel Marden (NPI# 1073659546, PAC ID# 7012048614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1073659546
PAC ID by PECOS 7012048614
Professional Enrollment ID I20100810000484
Full Name Philip Manuel Marden
Address 340 Summit Ave
Oconomowoc
WI 53066-3747
Gender M
Medical School UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
Graduation Year 1962
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialties ALLERGY/IMMUNOLOGY, FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520062 OCONOMOWOC MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
340 Summit Ave, Oconomowoc, WI 53066-3747

Organization Information

Office Location

Street Address 340 SUMMIT AVE
City OCONOMOWOC
State WI
Zip 53066-3747

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Anne K Wick Nurse Practitioner Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
David D Schlomer Internal Medicine Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
Bobbiejo Paul Nurse Practitioner Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
Bradley Steven Schuster Optometry Oconomowoc Vision Clinic, LLC 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399
David M Bjork Optometry Oconomowoc Vision Clinic, LLC 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399
Nathan James Omick Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
Michael Ray Traub Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
Karen Ihry Gould Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
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Competitor

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City OCONOMOWOC
Zip Code 53066
Specialty PEDIATRIC MEDICINE
City + Specialty OCONOMOWOC + PEDIATRIC MEDICINE

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Dataset Information

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.

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