Individual
MARK C RANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7910 W JEFFERSON BLVD STE 110, SUITE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Mailing address
7910 W JEFFERSON BLVD STE 110, SUITE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01072156A
IN
2085R0001X
Radiation Oncology Physician
35.140622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082915
—
OH
05
—
1578710471
—
MI
05
—
201160010
—
IN
Enumeration date
08/21/2008
Last updated
04/14/2025
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