Mark L Thayer, MD

NPI #1568424778 in Grantsburg, Wisconsin

Provider Information

NPI Number: 1568424778
Entity Type: Individual
Name: Mark L Thayer, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Apr 4, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 257 W SAINT GEORGE AVE
City: Grantsburg
State: Wisconsin
ZIP Code: 54840-7827
Phone: (715) 463-5353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Surgery	208600000X

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