Individual
MR. MARK A DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
799 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 756-5133
(419) 774-9707
Mailing address
799 LEXINGTON AVE, MANSFIELD, OH 44907-1906
(419) 756-5133
(419) 774-9707
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN293506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650457
—
OH
Enumeration date
06/30/2006
Last updated
07/09/2007
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