Individual
DR. MARK S MABUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, RPH
Contact information
Practice address
935 E SNYDER AVE, MONTPELIER, OH 43543-1251
(419) 485-3106
(419) 485-8776
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.092452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00769943
RAILROAD
OH
Enumeration date
07/16/2008
Last updated
11/15/2022
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