Individual
MR. MARK ANTHONY MASSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P.
Contact information
Practice address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
Mailing address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H-059393
IA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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