Individual
MARK J HIPPENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
534 CARATOKE HWY, MOYOCK, NC 27958-8740
(252) 435-6621
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101226438
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5607205
—
VA
Enumeration date
04/18/2006
Last updated
06/23/2016
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