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Contact Information

MARK L. MIDENBERG
115 QUEENSBURY DR SW
HUNTSVILLE, AL35802-1501
 Phone: 256-880-0222
 Fax: 256-880-3404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK L. MIDENBERG

NPI Number 1659648350
LBN Legal business name MARK L. MIDENBERG
Authorized official MARK MIDENBERG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2011
Last updated 11/23/2011 - About 15 years ago
Identifiers
AL License # AL116
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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