Individual
DR. MARK R TEUNIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11142 ROBINWOOD DR, HAGERSTOWN, MD 21742-6702
(301) 791-2020
(301) 733-6994
Mailing address
11142 ROBINWOOD DR, HAGERSTOWN, MD 21742
(301) 791-2020
(301) 733-6994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0996
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322100800
—
MD
Enumeration date
07/27/2006
Last updated
07/15/2010
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