Individual
MARKUS M. FITZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 MILO B. SAMPSON LANE, BLOOMINGTON, IN 47408-1398
(812) 349-5074
(812) 349-5130
Mailing address
2425 MILO B. SAMPSON LANE, BLOOMINGTON, IN 47408-1398
(812) 349-5074
(812) 349-5130
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01062683A
IN
2085R0001X
Radiation Oncology Physician
MA220699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036324
NHP OF MASS
—
05
—
200860660
—
IN
05
—
2071011
—
MA
01
—
2400030
UHC
—
01
—
J27948
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/11/2006
Last updated
12/22/2009
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