Individual
DR. MARK S DESILVIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
735 HASKINS RD, BOWLING GREEN, OH 43402-1638
(419) 352-8110
(419) 354-1425
Mailing address
735 HASKINS RD, BOWLING GREEN, OH 43402-1638
(419) 352-8110
(419) 354-1425
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36001882D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408991
—
OH
Enumeration date
07/05/2005
Last updated
07/08/2007
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