Search › Indiana › 207RG0100X
Mark Fesenmyer, MD
NPI 1992770390 · on the registry since 2006
Practice
- Address
- 8895 Broadway
Merrillville, IN 46410 - Phone
- (219) 738-2081
- Fax
- (219) 736-4658
- Organisation at this address
- Internal Medicine Associates
Ima Endoscopy Surgicenter P C
Northwest Indiana Retina Institute LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 7835 Grand Blvd, Hobart, IN
- 3800 Saint Mary Rd Ste 101, Valparaiso, IN
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207RG0100X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-05-05
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 Indiana