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NPI Verification

National Provider Identifier: 1083646772

Mark J. Dykstra, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

N84W16889 MENOMONEE AVE

MENOMONEE FALLS, WI 530512810

Phone: 262-251-7500

NPI Enumeration Date

July 6, 2006

NPI Number

1083646772

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry