Individual
MARK W PRESLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0033771
MD
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
D33771
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428711800
—
MD
01
—
KZ41ST / 425229-02
BC / BS OF MD
MD
01
—
S186 / 0028
BLUECHOICE
MD
Enumeration date
06/12/2006
Last updated
04/25/2020
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