Individual
DR. MARK EDWARD FENZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
216 E LIMA ST, FOREST, OH 45843-1118
(419) 273-2553
(419) 273-3337
Mailing address
216 E LIMA ST, FOREST, OH 45843-1118
(419) 273-2553
(419) 273-3337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34.008871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2902854
—
OH
01
—
P00681969
RAILROAD CARE
OH
Enumeration date
05/18/2007
Last updated
05/26/2009
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