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1457312894
MARTIN D MARK
LOUISVILLE, KY
NPI
1457312894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KY 29138)
Additional Taxonomies
174400000X Specialist
(Licence: KY 29138)
Enumeration Date
2006-03-28
Last Update Date
2016-07-12
Business Address
Dr. MARTIN D MARK M.D.
3999 DUTCHMANS LN SUITE 7B
LOUISVILLE, KY 40207-4729
Phone number: 502-896-4711
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Mailing Address
Dr. MARTIN D MARK M.D.
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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