Healthcare Provider Details

I. General information

NPI: 1861917007
Provider Name (Legal Business Name): MARK T VOELLINGER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEDICAL PARK STE 203
WHEELING WV
26003-6390
US

IV. Provider business mailing address

109 MOUNT WOOD RD
WHEELING WV
26003-2632
US

V. Phone/Fax

Practice location:
  • Phone: 304-234-8942
  • Fax: 304-234-1668
Mailing address:
  • Phone: 304-233-2455
  • Fax: 304-233-6073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK T VOELLINGER
Title or Position: PRESIDENT
Credential: MD
Phone: 304-233-2455