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MARK KURT VILLWOCK MD
NPI 1508885195
Family Medicine in Green Bay, WI

Active since July 18, 2006
3021 VOYAGER DR, GREEN BAY, WI 54311(920) 496-4700(920) 272-1573 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mark Kurt Villwock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK KURT VILLWOCK MD (NPI 1508885195) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (25474) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1508885195
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK KURT VILLWOCKCredential: MD
Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303
Mailing AddressPo Box 19070, Prevea HealthGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 272-1573
Phone(920) 496-4700
Fax(920) 272-1573
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 22, 2008
✔ NPI 1508885195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 25474
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3021 VOYAGER DR, Green Bay, WI 54311
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Other Identifiers 3

Medicare UPINB57347
Medicaid30575900WI
Medicare ID-Type Unspecified07125-0123

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA CHEEMA MD
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810
JILL SCHUSTER-SYED DO
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
PREVEA HEALTH
Durable Medical Equipment & Medical Supplies
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
TRENT J AUGUSTON MD
Family Medicine
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
COURTNEY WAGNER SOUHEAVER DPT
Physical Therapist
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
MS. BECKYSUE WOLF APNP
Nurse Practitioner
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 496-4700
DR. FATIMA QAMAR MD, MPH
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810
DR. ELIZABETH ABEGGLEN MD
Student in an Organized Health Care Education/Training Program
3021 VOYAGER DR
GREEN BAY, WI 54311
Brown County (920) 431-1810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Villwock's NPI number?

The NPI number for Mark Villwock is 1508885195. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Villwock located?

Mark Villwock practices at 3021 Voyager Dr, Green Bay, WI 54311. The listed phone number is (920) 496-4700.

What is Mark Villwock's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Villwock was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.