Individual
DR. MARK COMNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
COMDT (CG-1122) U.S. COAST GUARD, 2100 2ND ST SW, STE 5314, WASHINGTON, DC 20593-0001
(231) 922-8282
Mailing address
COMDT (CG-1122) US COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593-0001
(231) 922-8282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228
NE
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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