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Individual

MARK L. REPKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 MEDICAL PKWY, STE 304, ANNAPOLIS, MD 21401-3745
(410) 573-9530
(410) 573-9569
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(410) 573-9530
(410) 573-9568

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0037062
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
295031600
MD
01
596774Y5Z
MEDICARE
MD
01
596774ZDWS
MEDICARE
MD
01
CY310009
BCBS
MD
Enumeration date
05/27/2005
Last updated
10/31/2017
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