Individual
DR. MARK ERNST FELDMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL24528
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101245829
VA
390200000X
Student in an Organized Health Care Education/Training Program
0101245829
VA
Other
Enumeration date
10/23/2006
Last updated
06/28/2012
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