| Dr Philip M Marden, MD | |
|
340 Summit Avenue, Oconomowoc, WI 53066-3747 | |
| (262) 567-0366 | |
| (262) 567-0368 |
| Full Name | Dr Philip M Marden |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 340 Summit Avenue, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073659546 | NPI | - | NPPES |
| 1000283 | Other | PHYSICIANS PLUS INSURANCE | |
| 1200110 | Other | UNITED HEALTHCARE | |
| AS68366510001 | Other | CIGNA | |
| 718112 | Other | MANAGED HEALTH SERVICES | |
| 52D0388538 | Other | CLIA CERTIFICATE | |
| 12659 | Other | DEAN HEALTH PLAN | |
| 14664 | Other | WI | ST OF WIS MEDICAL LICENSE |
| 213688 | Other | ONE HEALTH PLAN | |
| 31212300 | Medicaid | WI | |
| 4308968 | Other | AETNA | |
| MARDENPHI | Other | MERCYCARE HEALTH PLANS | |
| 112760524654 | Other | HUMANA | |
| W003437 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 14664 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 14664 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 14664 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip M Marden, MD 340 Summit Avenue, Oconomowoc, WI 53066-3747 Ph: (262) 567-0366 | Dr Philip M Marden, MD 340 Summit Avenue, Oconomowoc, WI 53066-3747 Ph: (262) 567-0366 |
Dr. Michelle M Mielke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300 Fax: 262-569-2202 | |
Dr. Mark R Wessling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300 Fax: 262-569-2266 | |
Dr. Justin Eric Paulson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066 Phone: 262-569-7100 Fax: 262-567-6295 | |
Kimberly J Kastner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066 Phone: 262-569-7100 Fax: 262-567-6295 | |
Dr. Justin Leo Schilz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066 Phone: 262-659-7100 | |
Dr. David O Ulery, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300 Fax: 262-569-2266 | |
Dr. Gregory Michael Moyer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 970 S Silver Lake St, Ste. 102, Oconomowoc, WI 53066 Phone: 262-569-7100 Fax: 262-567-6295 |