Individual
DR. MARK D. GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 423-6690
(765) 423-6691
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01043187
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001030
—
IN
Enumeration date
07/24/2006
Last updated
01/20/2025
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