MEDICARE: MR. MARK THOMAS ZARANSKI PHD, DIPL.OM, B.S.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	84000138A	IN

General Provider Information

NPI Number	:	1023489713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK THOMAS ZARANSKI PHD, DIPL.OM, B.S.,

Provider Business Mailing Address
First Line	:	9501 INDIANAPOLIS BLVD
Second Line	:	BLDG 1 SUITE A
City	:	HIGHLAND
State	:	IN
Zip	:	46322-2664
Country	:	US
Telephone Number	:	219-595-5529
Fax Number	:	219-513-9273

Provider Business Practice Location Address
First Line	:	9501 INDIANAPOLIS BLVD
Second Line	:	BLDG 1 SUITE A
City	:	HIGHLAND
State	:	IN
Zip	:	46322-2664
Country	:	US
Telephone Number	:	219-595-5529
Fax Number	:	219-513-9273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	10/07/2015

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