Individual
MARK R FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 S SMITH RD, BLOOMINGTON, IN 47401-8943
(812) 277-5311
Mailing address
2551 S SMITH RD, BLOOMINGTON, IN 47401-8943
(812) 277-5311
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01050576A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
37989
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200228890A
—
IN
Enumeration date
09/09/2005
Last updated
10/26/2015
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