Individual
DR. MARK T RORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3033 KETTERING BLVD, SUITE 100, MORAINE, OH 45439-1962
(937) 293-2133
(937) 293-2161
Mailing address
8120 GARNET DR, DAYTON, OH 45458-2141
(937) 272-1631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03040
KY
207Q00000X
Family Medicine Physician
Primary
34007087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0887136
MEDICARE ID-TYPE UNSPECIFIED
OH
05
—
2142112
—
OH
05
—
2245421
—
OH
01
—
9358391
MEDICARE ID-TYPE UNSPECIFIED
OH
Enumeration date
06/17/2005
Last updated
02/05/2013
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