MARK EDWIN EDSTROM MD
NPI 1518937382
Internal Medicine in Eau Claire, WI

Q: What is Mark Edstrom's NPI number?

The NPI number for Mark Edstrom is 1518937382. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Q: What is Mark Edstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Edstrom was last updated on April 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 25, 2006

1400 BELLINGER ST, EAU CLAIRE, WI 54703(715) 838-5222 Get Directions Write a Review

NPPES record last updated: April 7, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mark Edwin Edstrom Md NPPES

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

MARK EDWIN EDSTROM MD (NPI 1518937382) is an individual internal medicine provider in Eau Claire, Wisconsin, licensed in Wisconsin (25244) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1518937382

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARK EDWIN EDSTROMCredential: MD

Location Address1400 BELLINGER STEau Claire, WI 54703-5222

Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (715) 838-5222

Phone(715) 838-5222

Sole ProprietorNo

Enumeration DateJanuary 25, 2006

Last NPPES UpdateApril 7, 2009

✔ NPI 1518937382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 25244

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1400 BELLINGER ST, Eau Claire, WI 54703

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Other Identifiers 3

Medicaid30517300WI

Medicare UPINB52584

Medicare ID-Type Unspecified0024 20195WI

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.

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