Individual
DR. MARK A. COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 W. NATIONAL RD, VANDALIA, OH 45377
(937) 898-3600
(937) 898-2731
Mailing address
25 MERCHANT STREET, SUITE 220, CINCINNATI, OH 45246-3740
(513) 533-6507
(513) 645-9767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051843C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0599991
—
OH
Enumeration date
04/17/2006
Last updated
08/01/2018
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