Mark Thorup Wright, DO
Student in an Organized Health Care Education/Training Program in Milwaukee, WI. Individual provider (NPI-1).
NPI number1164059622
StatusActive
Last updated in NPPESOct 26, 2024
Details
- NPI
- 1164059622
- Entity type
- Individual (NPI-1)
- Name
- Mark Thorup Wright
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Oct 26, 2024
- Last updated
- Oct 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 8154721 | WI |
Practice location
8701 Watertown Plank RdMilwaukee, WI 53226-3548
Phone 414-777-7700
Mailing address
42nd And Emile StOmaha, NE 68198-0001
Phone 402-559-1010
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