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Individual
MARK PAUL SPEICHER
Active
Individual
MARK PAUL SPEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213917-1
NY
207R00000X
Internal Medicine Physician
OS009551L
PA
208M00000X
Hospitalist Physician
Primary
213917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017620980002
—
PA
05
—
02052197
—
NY
01
—
110221437
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
P00624424
RR MEDICARE
—
Enumeration date
02/20/2006
Last updated
09/12/2012
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