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

Mark Gideonsen, MD

Individual provider Family Medicine Physician · NPI 1841236445

Mark Gideonsen, MD is a Family Practice in Eau Claire, Wisconsin. Graduated from Rush Medical College of Rush University in 1994, 32 years ago. Practices with The Lakes Community Health Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
Rush Medical College of Rush University
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1002 W Clairemont Ave
Eau Claire, WI 54701-6123
Phone: (534) 200-6165
Fax: (534) 200-6166
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 44761 (WI)

Record details

NPI number1841236445
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1994 (32 years in practice)
Group practice The Lakes Community Health Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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