Individual provider · Type 1 NPI

Mark Christian Phelps, MD

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1326243718 Active

Practice location

8701 W Watertown Plank Rd
Milwaukee, WI 53226-3548

Mailing address

3710 N Oakland Ave # 308
Shorewood, WI 53211-2236

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326243718

Mark Christian Phelps, MD's National Provider Identifier is 1326243718, issued on Jun 18, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.