Mark a. Aldrich, D.P.M., Inc.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

502-025 Issued in WI

Legal business name

MARK A. ALDRICH, D.P.M., INC.

Practice address

737 Dorr St
Antigo, WI 54409-1472

Phone

(715) 623-4710

NPI assigned

Feb 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark A Aldrich, DPM

Title

President

Phone

(715) 623-4710

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1114385960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 DORR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091472",
            "telephone_number": "715-623-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 DORR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091472",
            "telephone_number": "715-623-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. ALDRICH, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-623-4710",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "WI",
            "license": "502-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Marie Larson, PT
• Stephen Larson, CRNA
• Christina Leslie
• Devin Loomans, PT
• Gianna Losser, LMT
• Courtney Lynn Mattek, AGPCNP-C
• Christy Jean Mattern, PA-C
• Kristen M Mattmiller, RPH
• Joseph McCauslin, DO
• Carol L. McDougal, SLP

• Podiatric Clinic/Center in Antigo, WI
• Providers in Antigo, WI by specialty
• Podiatric Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.