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Individual
MARK S SMESKO
Active
Individual
MARK S SMESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
353
WV
213E00000X
Podiatrist
Primary
36-00-2979
OH
213E00000X
Podiatrist
SC-00-4569
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134336
—
OH
05
—
6420011-000
—
WV
Enumeration date
07/07/2005
Last updated
02/21/2019
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