DONALD E MRDJENOVICH, DPM ALTOONA, PA

Contact Information

DONALD E MRDJENOVICH, DPM

2727 BEALE AVE
SUITE A
ALTOONA, PA 16601-1705

Phone: 814-946-1075
Fax: 814-946-4076
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry
Radiology	213ER0200X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for DONALD E MRDJENOVICH · (Male)

NPI Number	`1487632428`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	01/09/2006
Last updated	05/05/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	PA License # SC0034031 PA License # SC003403L PA Medicaid 0016415200001 PA Medicaid 0016415200002 Other 251775206 TAX ID FOR GROUP PA Other 0707106 AETNA HMO QPOS PA Other 21139415759 BEECH STREET PA Other 826758 BLUE SHIELD GROUP PA Other MR680859 BLUE SHIELD IND PA Other 740952 FOCUS PA Other 1024439 GATEWAY INDIVIDUAL PA Other 21139415759 INTERGROUP PA Other 000680859 KEYSTONE HEALTH PLAN PA Other P11111021 MULTIPLAN PA Other 5082453 PPNI PA Other CC2226 RAILROAD MEDICARE GROUP PA Other 480019774 RAILROAD MEDICARE INDIVID PA Other 000000087405 UNISON PA Other 206170 UPMC
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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DONALD E MRDJENOVICH, DPM – NPI #1487632428Primary Podiatric Medicine

Contact Information

Specialty

Primary Podiatric Medicine

Podiatrist

Radiology

Surgery, Foot

NPI Profile & details for DONALD E MRDJENOVICH · (Male)

Reviews for DONALD E MRDJENOVICH

DONALD E MRDJENOVICH, DPM – NPI #1487632428
Primary Podiatric Medicine