Individual
DR. MARK JOSEPH SULEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3922 MARQUIS LN, MASON, OH 45040-4110
(513) 225-4984
Mailing address
3922 MARQUIS LN, MASON, OH 45040-4110
(513) 225-4984
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34005442S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091892
—
OH
01
—
P01419361
RR MEDICARE
—
Enumeration date
11/28/2005
Last updated
01/19/2016
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