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1356341762
MARK CHARLES VLASAK
COLLIERVILLE, TN
NPI
1356341762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD17221)
Enumeration Date
2005-07-28
Last Update Date
2008-05-21
Business Address
Dr. MARK CHARLES VLASAK M.D.
1164 W POPLAR AVE
COLLIERVILLE, TN 38017-3196
Phone number: 901-853-5551
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Mailing Address
Dr. MARK CHARLES VLASAK M.D.
739 POLO RUN DR
COLLIERVILLE, TN 38017-7302
Phone number: 901-854-4406
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