Individual
DR. MARK M MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4975 FOOTE RD, SUITE 100, MEDINA, OH 44256-8748
(330) 721-8232
Mailing address
4975 FOOTE RD STE 100, MEDINA, OH 44256-8748
(330) 721-8232
(330) 721-8403
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.069174
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100989
—
OH
01
—
P00144816
RAILROAD MEDICARE
OH
Enumeration date
09/20/2006
Last updated
05/28/2021
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