Individual
MR. MARK P BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2099
(563) 568-3411
(563) 568-6139
Mailing address
40 1ST ST SE, WAUKON, IA 52172-2099
(419) 290-4998
(563) 568-6139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
306676
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
D146442
IA
Other
Enumeration date
11/06/2012
Last updated
09/22/2020
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