Individual
MARK BREZINKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14 MDG 201 INDEPENDENCE DRIVE, COLUMBUS, MS 39710-5469
(320) 630-5153
Mailing address
14 MDG 201 INDEPENDENCE DRIVE, COLUMBUS, MS 39710-0001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3944
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2024
Last updated
09/30/2024
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