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NPI Profile for MARK L MIEDEMA in FAYETTEVILLE, AR.
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1205063211 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/17/2009 | |
| Last updated | 03/19/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MARK L MIEDEMA
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MARK L MIEDEMA, MD