Gary Mark Kirk, M.D., M.P.H.

Pediatrics Physician · Middleton, WI

Individual Active NPI

NPI number 1750456448

Practice location

3332 Glacier Ridge Rd
Middleton, WI 53562-1769
Phone
(616) 485-3271

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NPI record

NPI
1750456448
Entity type
Individual (Type 1)
Enumeration date
November 21, 2006
Last updated
June 9, 2026
Certified
June 9, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 67490-20 WI

About Dr. Kirk

Gary Mark Kirk, M.D., M.P.H. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 3332 Glacier Ridge Rd, Middleton, WI 53562-1769. The NPI number 1750456448 was assigned on November 21, 2006 and the record was last updated on June 9, 2026.

Dr. Kirk lists a license in the registry: #67490-20 (WI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary Mark Kirk, M.D., M.P.H.?

The NPI number is 1750456448.

What is the phone number of Dr. Kirk?

The phone number listed for the practice location is (616) 485-3271.

Where is Dr. Kirk located?

3332 Glacier Ridge Rd, Middleton, WI 53562-1769.

What is the taxonomy code for Dr. Kirk?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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