Individual
MARK M TUNGESVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Mailing address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2005004970
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200206001
—
MO
Enumeration date
03/08/2006
Last updated
02/17/2025
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