Individual
DR. MARK LEON CHARPENTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 801-0152
(812) 801-0150
Mailing address
4132 ANDREW DR, FLOYDS KNOBS, IN 47119-9364
(502) 558-5990
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01058005A
IN
208000000X
Pediatrics Physician
Primary
01058005A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
01058005A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
01058005A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200472340
—
IN
05
—
7100294420
—
KY
Enumeration date
03/03/2007
Last updated
11/06/2025
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