Mark A Hoenecke, MD
Individual provider Active NPI Anesthesiology Physician · Cottage Grove, WI
NPI 1073562286 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1073562286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 28943-020 (WI)
- Practice address
- 3785 Janelle LN
Cottage Grove, WI 53527-9569 - Phone
- (088) 395-7466
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28943-020 | WI | MD | Anesthesiology Physician |
| 28943 | WI | MD | Pain Medicine (Anesthesiology) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 28943 | WI | |
| Anesthesiology Physician | 207L00000X | 28943-020 | WI | Yes |
Addresses
Primary practice location
3785 Janelle LN
Cottage Grove, WI 53527-9569
Mailing address
3785 Janelle LN
Cottage Grove, WI 53527-9569
Other providers in Cottage Grove, WI
- Beatriz Gissell Guerrero Ramirez
- Latris R Hamilton
- Jason A Hampton
- Heartland Family Chiropractic LLC
- Michael D Hiller
- Kevin M Hoey
- Margaret Ann Hojem
- Daniel Reese Hunter
- Michelet Jean-Charles
- Emily Jones
All providers in Cottage Grove, WI · Anesthesiology Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.