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Individual
DR. MARK J MENTRIKOSKI
Active
Individual
DR. MARK J MENTRIKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD459836
PA
207ZP0101X
Anatomic Pathology Physician
Q5040
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD459836
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Q5040
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
03/25/2010
Last updated
10/20/2023
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