Mark Kimborowicz, MD
General Practice in Mentor, OH. Individual provider (NPI-1).
NPI number1083655641
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1083655641
- Entity type
- Individual (NPI-1)
- Name
- Mark Kimborowicz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2006
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 35.047626 | OH | Yes |
| 207P00000X | Emergency Medicine | 35047626K | OH |
Practice location
7350 Industrial Park BlvdMentor, OH 44060-5318
Phone 216-732-9480
Mailing address
7350 Industrial Park BlvdMentor, OH 44060-5318
Phone 216-732-9480
Other practice locations
1995 E State St
Salem, OH 44460-2423
Salem, OH 44460-2423
Phone 330-332-1551
1995 E State St
Salem, OH 44460-2423
Salem, OH 44460-2423
Phone 330-332-1551
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