Organization
MARK MANDELL-BROWN MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MANDELL-BROWN MD (OWNER)
(513) 984-4700
Entity
Organization
Contact information
Practice address
10735 MONTGOMERY RD, CINCINNATI, OH 45242-3215
(513) 984-4700
Mailing address
10735 MONTGOMERY RD, CINCINNATI, OH 45242-3215
(513) 984-4700
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8847
RR MEDICARE
OH
Enumeration date
01/18/2007
Last updated
11/30/2007
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