Individual
MARK D. ANTOSZYK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-1689
(704) 783-2527
Mailing address
1238 BLACKSTONE CT NW, CONCORD, NC 28027-9071
(704) 262-9206
(704) 783-2527
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
157768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052179
—
NC
Enumeration date
12/19/2005
Last updated
07/08/2007
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