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Individual
DR. MARK ALAN FRITSCH
Active
Individual
DR. MARK ALAN FRITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01033298A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036063473
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630255
BCBC
IL
05
—
100387880
—
IN
01
—
220018690
RR MEDICARE
IN
01
—
351173213
HFN
IN
01
—
3720784008
CIGNA
IN
01
—
82420
BCBS
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
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