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Individual
MARK O. MCCORKINDALE
Active
Individual
MARK O. MCCORKINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19231
NE
207Q00000X
Family Medicine Physician
29362
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17827
WELLMARK BCBS - MAPLE VAL
IA
05
—
7085498
—
NE
05
—
8085498
—
IA
Enumeration date
05/24/2006
Last updated
10/17/2007
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