Individual
DR. MARK W DASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST, SUITE 410, LOUISVILLE, KY 40202-5700
(502) 271-5999
(502) 271-5994
Mailing address
550 S JACKSON ST, ACB/ 2ND FLOOR, LOUISVILLE, KY 40202-1622
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
81706
AZ
207VG0400X
Gynecology Physician
Primary
TP743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81706
TRAINING PERMIT
AZ
Enumeration date
04/18/2008
Last updated
06/10/2011
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