Individual
MARK A MARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145
Mailing address
804 KENYON RD, SUITE D, FORT DODGE, IA 50501-5742
(515) 574-6141
(515) 574-6145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21152
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006577
—
IA
01
—
110046473
RR MEDICARE
IA
01
—
18160
BC/BS
IA
Enumeration date
02/06/2006
Last updated
12/16/2009
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