Individual
MARK A BISIGNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S DORA ST, UKIAH, CA 95482-8325
(707) 463-3636
(707) 463-2714
Mailing address
1165 S DORA ST, UKIAH, CA 95482-8325
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
38599
MN
2085R0001X
Radiation Oncology Physician
Primary
G151223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001219000
—
MN
01
—
108453
CHOICE PLUS
MN
01
—
112202
UCARE
MN
01
—
18A02BU
BLUE CROSS/SHIELD
MN
01
—
2400131
MEDICA PRIMARY
MN
01
—
2400132
MEDICA
MN
01
—
26712
AMERICA'S PPO
MN
05
—
32628800
—
MN
01
—
963071012227
PREFERRED ONE
MN
01
—
HP19060
HEALTH PARTNERS
MN
Enumeration date
08/09/2005
Last updated
11/28/2023
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