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Individual

DR. MARK KIRSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4188
(704) 384-5299
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14971
SC
2085R0001X
Radiation Oncology Physician
Primary
21986
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2086552
UNITED HEALTHCARE
NC
01
2235310009
CIGNA
NC
01
26017
PARTNERS
NC
01
48390
MEDCOST
NC
01
49307
BLUE CROSS
NC
05
8949307
NC
05
N21986
SC
Enumeration date
03/16/2006
Last updated
07/08/2007
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