Mark S Kermgard
Emergency Physician Emergency Medical Services
430 E Division St
Fond du Lac
, Wisconsin 54935-4560
Mark S Kermgard
Emergency Physician Emergency Medical Services
430 E Division St
Fond du Lac
, Wisconsin 54935-4560
(920) 926-8370
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About
Features
Specialties
- Emergency Physician
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Mark S Kermgard
- 420 E Division St
- Fond Du Lac, WI
- Zip : 54935-4560
- Fax : (920) 926-8370
- Phone : (920) 926-8340
Second Address
- Mark S Kermgard
- 430 E Division St
- Fond Du Lac, WI
- Zip : 54935-4560
- Phone : (920) 929-2300
Reviews
FAQs
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What type of doctor is Mark S Kermgard
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Is Mark S Kermgard a sole practitioner?
Is Mark S Kermgard accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 34936020 | WI |
| N | 207PE0004X | Emergency Medical Services | 36091592 | IL |
National Provider Identifier
| NPI | 1023094885 |
|---|---|
| Provider Name | Mark S Kermgard |
| First Address | Fond Du Lac, WI 54935-4560 |
| Second Address | Fond Du Lac, WI 54935-4560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2005 |
| Last Update Date | 10/03/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023094885 | BLUE SHIELD (01) | WI |
| 31984300 | (05) | WI |
| 36091592 | (05) | IL |
| B23911 | (02) | |
| B23911 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.