Individual
MARK D MCELENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017271A
IN
207Q00000X
Family Medicine Physician
71183
WI
207Q00000X
Family Medicine Physician
MD-43530
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
71183
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
MD-43530
IA
Other
Enumeration date
06/06/2013
Last updated
08/21/2024
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