Individual
MARK EDWARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
600 N WOLFE ST BLDG RM9026, BALTIMORE, MD 21287-0005
(410) 955-6642
(410) 614-8510
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D78761
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488478
—
IA
01
—
08098
WELLMARK BCBS
IA
Enumeration date
05/17/2006
Last updated
03/05/2020
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