Mark Douglas Ensberg in Holt - Geriatric Medicine
Mark Douglas Ensberg - NPI 1912936527
Mark Douglas Ensberg is a Geriatric Medicine in Holt, Michigan. Mark Douglas Ensberg practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark Douglas Ensberg is 1912936527. The last update date is 2019-06-12.
Mark Douglas Ensberg's current location address is 5091 Willoughby Rd, Holt, Michigan. You can contact this provider via phone number 5176942144 and fax number 5176946570. The mailing address for Mark Douglas Ensberg is 5091 Willoughby Rd, Holt, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Ensberg |
|---|---|
| Address | 5091 Willoughby Rd, Holt, Michigan |
| Phone Number | 5176942144 |
| Fax Number | 5176946570 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912936527 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2019-06-12 |
Provider Mailing Address Detail
| Address | 5091 Willoughby Rd |
|---|---|
| City | Holt |
| State | Michigan (MI) |
| Post Code | 4884210540 |
| Phone Number | 5176942144 |
| Fax Number | 5176946570 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 4301048610 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2655771 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Douglas Ensberg by the Centers for Medicare & Medicaid Services?
The Mark Douglas Ensberg has been issued the NPI (National Provider Identifier) 1912936527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Douglas Ensberg is located?
The Mark Douglas Ensberg is situated at the following address: 5091 Willoughby Rd, Holt, MI, 4884210540.
What is Mark Douglas Ensberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Douglas Ensberg's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912936527 to Mark Douglas Ensberg?
The Centers for Medicare & Medicaid Services originally issued the 1912936527 to Mark Douglas Ensberg on 2006-07-03.
As of what date were the details related to Mark Douglas Ensberg most recently updated or revised?
The information pertaining to Mark Douglas Ensberg, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-12.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN