Individual
MARK S. JORRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3920 DUTCHMANS LN, SUITE 315, LOUISVILLE, KY 40207-4702
(502) 899-4177
(502) 259-6900
Mailing address
6801 DIXIE HWY, STE 130, LOUISVILLE, KY 40258-3913
(502) 899-4177
(502) 259-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20691
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64206915
—
KY
Enumeration date
04/18/2006
Last updated
08/16/2013
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