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NPI Code Detail

MEDICARE: DR. MARK EDWARD OPPENLANDER MD

MEDICARE: DR. MARK EDWARD OPPENLANDER 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
1207T00000XNeurological Surgery PhysicianR70169AZ
2207T00000XNeurological Surgery Physician4301108590MI
3207T00000XNeurological Surgery Physician45540AZ

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 : 1033373998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK EDWARD OPPENLANDER MD
Provider Business Mailing Address
First Line : 19636 N 27TH AVE STE 203
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4022
Country : US
Telephone Number : 623-562-5050
Fax Number : 623-562-5051
Provider Business Practice Location Address
First Line : 19636 N 27TH AVE STE 203
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-4022
Country : US
Telephone Number : 235-625-0506
Fax Number : 623-562-5051
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2008
Last Update Date : 10/25/2022

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Directions to “ DR. MARK EDWARD OPPENLANDER MD” Practice Location

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