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Contact Information

MARTIN M MROZEK, DPM
27 PARSONS LANE
FAYETTEVILLE, WV25840-0957
 Phone: 304-574-2310
 Fax: 304-574-2311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARTIN M MROZEK · (Male)

NPI # 1437119856
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/28/2006
Last updated 09/11/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 00282
  • WV Medicaid 0099788000
  • WV Other 223203 ADVANTRA
  • WV Other 353171 ALLIANCE PPO
  • WV Other 4281890001 DMERC
  • WV Other 001721891 MOUNTAIN STATE BC BS
  • WV Other P00252983 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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