Mark Kimborowicz in Mentor - General Practice

Mark Kimborowicz - NPI 1083655641

Mark Kimborowicz is a General Practice in Mentor, Ohio. Mark Kimborowicz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Kimborowicz is 1083655641. The last update date is 2018-03-17.

Mark Kimborowicz's current location address is 7350 Industrial Park Blvd, Mentor, Ohio. You can contact this provider via phone number 2167329480. The mailing address for Mark Kimborowicz is 7350 Industrial Park Blvd, Mentor, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Kimborowicz
Address 7350 Industrial Park Blvd, Mentor, Ohio
Phone Number 2167329480
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1083655641
Provider Enumeration Date 2006-06-08
Last Updated Date 2018-03-17

Provider Mailing Address Detail

Address 7350 Industrial Park Blvd
City Mentor
State Ohio (OH)
Post Code 440605318
Phone Number 2167329480
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 35.047626
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
930000109 OH MEDICARE RR-GA
493201 OH --
942460636194 OH CARESOURCE

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FAQs about Mark Kimborowicz

What is the unique identifier code issued to Mark Kimborowicz by the Centers for Medicare & Medicaid Services (CMS)?

The Mark Kimborowicz has been assigned the NPI (National Provider Identifier) 1083655641. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Mark Kimborowicz's facilities are geographically located?

The facilities of Mark Kimborowicz are physically situated at the following location: 7350 Industrial Park Blvd, Mentor, OH, 440605318.

What is Mark Kimborowicz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Kimborowicz is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

When was the Mark Kimborowicz's 1083655641 issued?

The Mark Kimborowicz's 1083655641 was issued on 2006-06-08.

As of what date were the Mark Kimborowicz's details last updated?

The information pertaining to the Mark Kimborowicz, including its address, specialty, and other details, was most recently updated on 2018-03-17.

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