Individual
DR. MARK J. MAZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003150
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326450
—
OH
01
—
480033771
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
07/21/2022
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