Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark William Wirtz

Individual provider Family Medicine Physician · NPI 1063772275

Dr. Mark William Wirtz is a Family Practice in Verona, Wisconsin. Graduated from Northwestern University Feinberg Medical School in 2012, 14 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Wisconsin.

Years since qualifying
14
Trained at
Northwestern University Feinberg Medical School
Licensed in
IA, WI
In the registry since
2012
Specialties on file
2

Practice location Address checks out

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone: (608) 845-9531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71092-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD-41706 (IA)

Record details

NPI number1063772275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Verona