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NPI Code Detail

MEDICARE: DR. MARK E CORCORAN MD

MEDICARE: DR. MARK E CORCORAN MD
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
1207Q00000XFamily Medicine Physician35.053772OH
2208M00000XHospitalist Physician35.053772OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740220854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK E CORCORAN MD
Provider Business Mailing Address
First Line : 392 E STONEQUARRY RD STE 441
Second Line :
City : VANDALIA
State : OH
Zip : 45377-9677
Country : US
Telephone Number : 937-308-0056
Fax Number :
Provider Business Practice Location Address
First Line : 1300 N COUNTY ROAD 25A
Second Line :
City : TROY
State : OH
Zip : 45373-1359
Country : US
Telephone Number : 937-332-0894
Fax Number : 937-339-7084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 02/05/2026

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Directions to “ DR. MARK E CORCORAN MD” Practice Location

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