Philip M Marden MD Sc

NPI #1700996576 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1700996576
Entity Type: Organization
Organization Name: Philip M Marden MD Sc
Primary Specialty: Pediatrics
Enumeration Date: Aug 30, 2006
Last Updated: Dec 6, 2012

Practice Location

Address: 340 SUMMIT AVENUE
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-3747
Phone: (262) 567-0366

Authorized Official

Name: PHILIP MANUEL MARDEN, MD
Title: PRESIDENT
Phone: (262) 667-0366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X
Family Medicine	207Q00000X
Pediatrics	208000000X	Primary

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