Individual
DR. MARK G ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042
Mailing address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34006858I
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2089734
—
OH
01
—
P00711886
RRMC
—
Enumeration date
06/01/2005
Last updated
05/01/2012
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