Mark Mazenko

NPI #1659075802 in Madison, Tennessee

Provider Information

NPI Number: 1659075802
Entity Type: Individual
Name: Mark Mazenko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Mar 29, 2023
Last Updated: Mar 29, 2023

Practice Location

Address: 600 ROTHWOOD AVE APT B9
City: Madison
State: Tennessee
ZIP Code: 37115-4936
Phone: (256) 527-8721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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