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Individual

DR. W. MARK DUKEMINIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3299 HILYARD ST, EUGENE, OR 97405-3721
(541) 984-4611
(541) 349-7130
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12178
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159699
OR
Enumeration date
02/08/2006
Last updated
03/09/2010
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