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Individual

DR. MARK E MEIJER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1427 N MAIN ST, ROXBORO, NC 27573-4318
(336) 322-7241
Mailing address
2121 ALLENSVILLE RD, ROXBORO, NC 27574-7050
(336) 599-2382

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14756
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141VP
BCBS
NC
05
5903636
NC
Enumeration date
06/20/2005
Last updated
09/23/2013
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