Individual
MARK ALAN GUENIN
Active
Individual
MARK ALAN GUENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD043955L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012426790001
—
PA
05
—
0012426790018
—
PA
05
—
0012426790019
—
PA
05
—
0012426790022
—
PA
05
—
0012426790023
—
PA
01
—
300054876
RAILROAD MEDICARE
PA
Enumeration date
08/30/2005
Last updated
09/11/2013
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