Individual
DR. MARK R VERSLAND
Active
Individual
DR. MARK R VERSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
028335
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001283358
—
CT
01
—
0076300
AETNA
CT
01
—
010028335CT01
ANTHEM BC
CT
01
—
0925918002
CIGNA
CT
01
—
744458
CONNECTICARE
CT
01
—
HAS486
OXFORD
CT
Enumeration date
09/14/2005
Last updated
01/24/2014
Update your record
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