Individual
DR. MARK MANDELL-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
35-056288
OH
208200000X
Plastic Surgery Physician
Primary
35-056288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00134493
RR MEDICARE
OH
Enumeration date
01/18/2007
Last updated
12/17/2008
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