Individual
MARK A MANEGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3219 CLIFTON AVE STE 330, CINCINNATI, OH 45220-2452
(513) 853-9250
(513) 281-1908
Mailing address
3219 CLIFTON AVE STE 330, CINCINNATI, OH 45220-2452
(513) 853-9250
(513) 281-1908
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-051751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0737920
—
OH
01
—
100010946
RAILROAD MEDICARE
OH
Enumeration date
06/13/2005
Last updated
06/28/2023
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