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Individual
MARK W WURSTER
Active
Individual
MARK W WURSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35081703
OH
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35081703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352476
—
OH
Enumeration date
05/01/2006
Last updated
04/14/2011
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