MARK B. SMUCKLER MD LTD NPI 1528344819

NPI Information

NPI: 1528344819
Provider Name: MARK B. SMUCKLER MD LTD
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
155 E SILVER SPRING DR
203
MILWAUKEE, WI
ZIP 53217
Phone: (414) 332-2450
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MARK B. SMUCKLER MD LTD is an adult mental health clinic center in Milwaukee, WI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARK B. SMUCKLER MD LTD NPI is 1528344819. The provider is registered as an organization entity type.

The provider's business location address is:

155 E SILVER SPRING DR
203
MILWAUKEE, WI
ZIP 53217-704
Phone: (414) 332-2450
Fax: (414) 332-1390

The provider's authorized official is Mark B Smuckler .
The authorized official title is President and has the following contact phone number (414) 332-2450.

The enumeration date for this NPI number is 10/31/2011 and was last updated on 10/31/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	16139	WISCONSIN	No
2	261QM0850X	Clinic/Center	Adult Mental Health	16139	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30954800	MEDICAID	WISCONSIN
2	B-56726	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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