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Individual
MARK R PALAZZOLO
Active
Individual
MARK R PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS10224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000002505
PHP
MI
05
—
281269000
—
FL
05
—
4505156
—
MI
01
—
AS941Y
MEDICARE
FL
01
—
P00014737
RAILROAD MEDICARE
MI
Enumeration date
07/17/2006
Last updated
07/16/2014
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