Individual provider · NPI-1

Dr. Mark G Adorjan, MD

Family Medicine · Appleton, WI

NPI number1164430732
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1164430732
Entity type
Individual (NPI-1)
Name
Dr. Mark G Adorjan
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2006
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine45080WIYes

Practice location

W3124 Van Roy Rd
Appleton, WI 54915-3982

Phone 920-730-2747 · Fax 920-730-2207

Mailing address

W3124 Van Roy Rd
Appleton, WI 54915-3982

Phone 920-730-2747 · Fax 920-730-2207

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