Individual
MARK A MUIZNIEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
651 DUNLOP LANE CLARKSVILLE, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
2020 21ST AVE S, SUITE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40646
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000528735
BLUE SHIELD
KY
05
—
3831915
—
TN
Enumeration date
05/27/2006
Last updated
08/02/2011
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