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Organization
MARK HISKES DPM PC
Active
Organization
MARK HISKES DPM PC
Active
Other names
Gentle Family Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R HISKES (OWNER)
(317) 852-7511
Entity
Organization
Contact information
Practice address
69 E GARNER RD, STE 100, BROWNSBURG, IN 46112-7698
(317) 852-7511
(317) 852-7531
Mailing address
69 E GARNER RD, STE 100, BROWNSBURG, IN 46112-7698
(317) 852-7511
(317) 852-7531
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000693
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091435
BCBCS
IN
01
—
000000091436
BCBS
IN
05
—
100119070
—
IN
05
—
100176040
—
IN
01
—
CG4527
RAILROAD MEDICARE
—
Enumeration date
06/07/2007
Last updated
09/03/2010
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