Mark D Shewczyk, MD
Family Medicine in Grafton, WI. Individual provider (NPI-1).
NPI number1609809672
StatusActive
Last updated in NPPESJan 12, 2022
Details
- NPI
- 1609809672
- Entity type
- Individual (NPI-1)
- Name
- Mark D Shewczyk
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2006
- Certification date
- Jan 12, 2022
- Last updated
- Jan 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 28080 | WI | Yes |
Practice location
2061 Cheyenne CtGrafton, WI 53024-9368
Phone 262-376-1934
Mailing address
2061 Cheyenne CtGrafton, WI 53024-9368
Phone 262-376-1934
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Other Family Medicine Physician providers in Grafton, WI
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All 6 Family Medicine Physician providers in Grafton · All 545 providers in Grafton
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