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Individual

DR. MARK ERNST FELDMANN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 RIVERSIDE CIR STE 300, SUITE 300, ROANOKE, VA 24016-4962
(540) 581-0180
Mailing address
1 RIVERSIDE CIRCLE, SUITE 300, CARILION CLINIC, ROANOKE, VA 24016
(540) 581-0180

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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