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Individual

MARK E ZOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804
Mailing address
7201 ENGLE RD, FORT WAYNE, IN 46804-2228
(260) 432-1800
(260) 432-1804

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01044016A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200211240
IN
01
P00439505
RR MEDICARE
IN
Enumeration date
05/24/2005
Last updated
06/27/2019
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