Individual
DR. MARC A MIZZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9420 KEY WEST AVE STE 30, ROCKVILLE, MD 20850
(301) 762-3200
(301) 762-3200
Mailing address
9420 KEY WEST AVE STE 302, ROCKVILLE, MD 20850-6212
(301) 762-3200
(301) 762-3200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03444
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
887415-01
BCBS MARYLAND
MD
01
—
F015-0005
BCBS DC
MD
Enumeration date
11/17/2006
Last updated
12/18/2018
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