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

Mark Otto Weisse, MD

Individual provider Family Medicine Physician · NPI 1154305761

Mark Otto Weisse, MD is a Family Medicine Physician in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
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

115 W Doty St Phs Medical Ofc
Madison, WI 53703-3276
Phone: (608) 284-6071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20893 (WI)

Record details

NPI number1154305761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 6, 2005
Last updated in NPPESJuly 8, 2007
Mailing address5391 Mariners Cove Dr, Unit 202, Madison, WI 53704-7615

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