Individual
MARK R RANZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 S MAIN ST, SUITE A, GOSHEN, IN 46526-5232
(574) 535-9100
(574) 535-1020
Mailing address
2006 S MAIN ST, SUITE A, GOSHEN, IN 46526-5232
(574) 535-9100
(574) 535-1020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01065294
IN
207P00000X
Emergency Medicine Physician
35063795
OH
208600000X
Surgery Physician
Primary
01065294A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108323
—
OH
05
—
200909140A
—
IN
Enumeration date
01/04/2006
Last updated
08/21/2024
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