Individual
DR. MARK H RUNKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
7855 S EMERSON AVE STE T, INDIANAPOLIS, IN 46237-8669
(317) 859-2905
(317) 859-2909
Mailing address
7855 S EMERSON AVE STE T, INDIANAPOLIS, IN 46237-8669
(317) 859-2905
(317) 859-2909
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000797
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200035220
—
IN
01
—
4743630001
DMERC
IN
01
—
DN3463
RAIL ROAD MEDICARE
IN
Enumeration date
07/15/2006
Last updated
02/26/2025
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