Dr. Mark A Dittenbir, M.D.
Surgery in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1942249727
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1942249727
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark A Dittenbir
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Last updated
- May 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 4301048692 | MI | Yes |
| 2086S0129X | 4301048692 | MI |
Practice location
601 John St Ste M283aKalamazoo, MI 49007-5341
Phone 269-349-7696 · Fax 269-488-8313
Mailing address
601 John StSuite M283a
Kalamazoo, MI 49007-5341
Phone 269-349-7696 · Fax 269-488-8313
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