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

Mark R Staszkiewicz, MD

Individual provider Pediatrics Physician · NPI 1417914524

Mark R Staszkiewicz, MD is a Pediatrics Physician in West Bend, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

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

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 334-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 38128 (WI)

Record details

NPI number1417914524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

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