Mark Allen Fernandez, M.D.

NPI #1033114939 in Peru, Illinois

Provider Information

NPI Number: 1033114939
Entity Type: Individual
Name: Mark Allen Fernandez, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 16, 2005
Last Updated: Nov 20, 2008

Practice Location

Address: 920 WEST ST
Address 2: STE 311
City: Peru
State: Illinois
ZIP Code: 61354-2770
Phone: (815) 223-9214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X

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