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Dr. Mark Edward Fenzl, DO
General Practice Physician in Forest, Ohio
NPI 1790993137

Mark Edward Fenzl is a General Practice Physician based in Forest, OH. Mark Edward Fenzl practices in Forest, OH and has the professional credentials of DO. The NPI Number for Mark Edward Fenzl is 1790993137 and holds a License No. 34.008871 (Ohio).

The current practice location address for Mark Edward Fenzl is 216 E Lima St, Forest, OH and can be reached out via phone at 419-273-2553 and via fax at 419-273-3337.

Location: 216 E Lima St, Forest, OH, 45843-1118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790993137
Provider Name
Mark Edward Fenzl
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
216 E Lima St, Forest, OH, 45843-1118
Phone Number
419-273-2553
Fax Number
419-273-3337
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00681969 01 OH RAILROAD CARE
2902854 05 OH
institution
Provider Business Practice Location Address Details
Address
216 E Lima St
City
Forest
State
Ohio
Zip
45843-1118
Phone Number
419-273-2553
Fax Number
419-273-3337
person
Provider Business Mailing Address Details
Address
216 E Lima St
City
Forest
State
Ohio
Zip
45843-1118
Phone Number
419-273-2553
Fax Number
419-273-3337
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
34.008871 (Ohio)
Definition
Definition to come...
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