Individual
MARK DAVID MOGLOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 LONGWOOD DR SW, HUNTSVILLE, AL 35801-4522
(256) 533-6488
(256) 533-6495
Mailing address
PO BOX 2324, BIRMINGHAM, AL 35201-2324
(256) 533-7064
(256) 704-0115
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
032157
IA
207RG0100X
Gastroenterology Physician
31469
WI
207RG0100X
Gastroenterology Physician
Primary
MD.31660
AL
207RG0100X
Gastroenterology Physician
ME99163
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139181
—
AL
Enumeration date
05/19/2006
Last updated
04/10/2018
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