Individual
DR. MARTIN M MROZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00282
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721891
MOUNTAIN STATE BC BS
WV
05
—
0099788000
—
WV
01
—
223203
ADVANTRA
WV
01
—
353171
ALLIANCE PPO
WV
01
—
4281890001
DMERC
WV
01
—
P00252983
RR MEDICARE
WV
Enumeration date
03/28/2006
Last updated
09/11/2008
Update your record
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