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Individual

MARC J KORNMESSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508-5230
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY, SUITE 300, ANCHORAGE, AK 99508-5230
(907) 562-2277
(907) 563-3460

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5510
AK
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
5510
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019917
AK
Enumeration date
06/29/2006
Last updated
02/29/2016
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