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Individual
MARK J MENDESZOON
Active
Individual
MARK J MENDESZOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002895
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180094
—
OH
01
—
139660
ANTHEM
OH
01
—
480023547
MEDICARE RAIL ROAD
OH
01
—
5392066
AETNA
OH
Enumeration date
12/28/2005
Last updated
11/02/2023
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