Individual
DR. MARK OECHSLIN MUGAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8100
(502) 896-0813
Mailing address
700 LAKE STERLING RD, LOUISVILLE, KY 40223-2795
(502) 299-5923
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
51536
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
04/03/2014
Last updated
11/29/2023
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