Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK C BOETTCHER, MD
ActivePediatrics · JANESVILLE, WI
Registration Details
- NPI Number
- 1750325155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2006 (19.850595325339 yrs)
- Last Updated
- Nov 3, 2020
- License
-
33859-020 (WI)
Practice Information
- Address
-
3200 E RACINE STJANESVILLE, WI, 535462343Browse WI providers · Browse ZIP 53546
- Phone
- 6083718000
- Fax
- 6083718008
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in JANESVILLE, WI
| Name | Credential | NPI |
|---|---|---|
| ALFREDO F MENDOZA | MD | 1346281649 |
| JULIE A WARAKSA | MD | 1154362002 |
| PATRICK D MEYER | MD | 1679517080 |
| JOHN M ZIEGLER | MD | 1013944222 |
| DR. MARK L GOELZER | MD | 1619902111 |
| DR. BLAINE B NOWAK | MD | 1669531141 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.