Individual
MARK A LITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 S. PILGRIM BLVD., YORKTOWN, IN 47396-9250
(765) 759-4068
Mailing address
250 N SHADELAND AVE, STE 130 ATTN SHAKILA GERMANY, INDIANAPOLIS, IN 46219-4959
(317) 962-4792
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01053704A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200356770
—
IN
01
—
P00936176
RR MEDICARE
IN
Enumeration date
02/22/2006
Last updated
04/29/2014
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