Individual
MARK V REECER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Mailing address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01039946A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01039946A
IN
208VP0000X
Pain Medicine Physician
Primary
01039946A
IN
Other
Enumeration date
01/31/2006
Last updated
02/05/2024
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