Doctor Name: | MARK J ORMSON |
NPI Number: | 1023003506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01038192 |
Business Practice Address: | 620 W Edison Rd Suite 110 Mishawaka, IN - 465452784 |
Business Phone Number: | 5742581100 |
Business Fax Number: | 5742581101 |
Mailing Address: | 620 W Edison Rd, Suite 110 MISHAWAKA |
State: | IN |
Postal Code: | 465452784 |
Phone Number: | 5742581100 |
Fax Number: | 5742581101 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 01038192 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |