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Individual
DR. MARK THOMAS VERCEL
Active
Individual
DR. MARK THOMAS VERCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
11620
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M47140248
MEDICARE PTAN
IN
Enumeration date
04/26/2012
Last updated
11/25/2020
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