Mark A. Dittenbir, M.D.

Surgery Physician · Kalamazoo, MI

Individual Active NPI

NPI number 1942249727

Practice location

601 John St Ste M283a
Kalamazoo, MI 49007-5341
Phone
(269) 349-7696
Fax
(269) 488-8313

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NPI record

NPI
1942249727
Entity type
Individual (Type 1)
Enumeration date
June 6, 2006
Last updated
May 1, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 4301048692 MI
Vascular Surgery Physician 2086S0129X 4301048692 MI

Mailing address

601 John St
Suite M283a
Kalamazoo, MI 49007-5341
Phone
(269) 349-7696
Fax
(269) 488-8313

About Dr. Dittenbir

Mark A. Dittenbir, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 601 John St Ste M283a, Kalamazoo, MI 49007-5341. The NPI number 1942249727 was assigned on June 6, 2006 and the record was last updated on May 1, 2018.

Dr. Dittenbir lists 2 licenses in the registry: #4301048692 (MI) for Surgery Physician; #4301048692 (MI) for Vascular Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark A. Dittenbir, M.D.?

The NPI number is 1942249727.

What is the phone number of Dr. Dittenbir?

The phone number listed for the practice location is (269) 349-7696.

Where is Dr. Dittenbir located?

601 John St Ste M283a, Kalamazoo, MI 49007-5341.

What is the taxonomy code for Dr. Dittenbir?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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