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Individual

MARK A WESTFALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1391 N BALDWIN AVE, MARION, IN 46952-1913
(765) 660-7900
Mailing address
330 NORTH WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7317

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037682
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100124240
IN
Enumeration date
01/25/2006
Last updated
10/19/2020
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