Individual
DR. MARK W BYRGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 5TH ST NE, STE. 8, BARBERTON, OH 44203-3073
(330) 475-1616
(330) 475-1617
Mailing address
210 5TH ST NE, STE. 8, BARBERTON, OH 44203-3073
(330) 475-1616
(330) 475-1617
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34006236B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2225238
—
OH
01
—
4018273
MEDICARE ID
OH
01
—
MA9339501
MEDICARE ID
OH
Enumeration date
09/22/2005
Last updated
11/23/2011
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