Individual provider · Type 1 NPI
Mark Allen Siebrecht, D.P.M.
Foot & Ankle Surgery Podiatrist · Marengo, IA
NPI number
1295724243
Active
Practice location
255 W. Lucas St.
Marengo, IA 52301
Fax (319) 741-6791
Mailing address
255 W Lucas St
Marengo, IA 52301-1331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 00701 (IA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1295724243
Mark Allen Siebrecht, D.P.M.'s National Provider Identifier is 1295724243, issued on Oct 20, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Marengo, IA. The record was last updated on Sep 23, 2013.