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MARK AEPPLI VAN ETTEN
NPI 1568480614
Family Medicine - Geriatric Medicine in Spooner, WI

Active since July 17, 2006
707 ASH ST, SPOONER, WI 54801(715) 635-2151(715) 635-8768 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Aeppli Van Etten NPPES

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

MARK AEPPLI VAN ETTEN (NPI 1568480614) is an individual geriatric medicine provider in Spooner, Wisconsin, licensed in Wisconsin (25178-020) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1568480614
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameMARK AEPPLI VAN ETTEN
Location Address707 ASH STSpooner, WI 54801-1234
Mailing Address707 Ash StSpooner, WI 54801-1234 · (715) 635-2151 · Fax (715) 635-8768
Phone(715) 635-2151
Fax(715) 635-8768
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1568480614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in WI · 25178-020
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

707 ASH ST, Spooner, WI 54801
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Other Identifiers 3

Medicaid30518900WI
Medicare UPINB57299
Medicare PIN000366003WI

Other Providers at the Same Location NPPES 6

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

DR. PETER JAMES BOARDMAN M.D.
Personal Emergency Response Attendant
707 ASH ST
SPOONER, WI 54801
Washburn County (715) 635-2170
KATHLEEN ANN OLSEN
Nurse Practitioner (Women's Health)
707 ASH ST
SPOONER, WI 54801
Washburn County (715) 635-2151
BRUCE EDWARD BRAY
Family Medicine
707 ASH ST
SPOONER, WI 54801
Washburn County (715) 635-2151
BRIANNA STEIN LAT
Specialist/Technologist (Athletic Trainer)
707 ASH ST
SPOONER, WI 54801
Washburn County (715) 635-2151
JOSEPH STROMSNESS APRN, CNP
Nurse Practitioner (Family)
707 ASH ST, ESSENTIA HEALTH SPOONER CLINIC
SPOONER, WI 54801
Washburn County (715) 635-2151
MEGAN M POPP MD
Physical Medicine & Rehabilitation
707 ASH ST, ESSENTIA HEALTH SPOONER CLINIC
SPOONER, WI 54801
Washburn County (715) 635-2151

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 Van Etten's NPI number?

The NPI number for Mark Van Etten is 1568480614. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mark Van Etten located?

Mark Van Etten practices at 707 Ash St, Spooner, WI 54801. The listed phone number is (715) 635-2151.

What is Mark Van Etten's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Mark Van Etten was last updated on May 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.