Individual
DR. JASON ERIC MARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7913
Mailing address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001338
—
IN
Enumeration date
07/15/2005
Last updated
06/20/2024
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