Search › Maryland › 363A00000X
Mark Mckinnon, PA-C
NPI 1235258971 · on the registry since 2007
Practice
- Address
- 7021 Dasher Farm Ct
Columbia, MD 21045 - Phone
- (608) 215-2455
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- DC, WI, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland