Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2006001778 | MO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0531748 | KS |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2006001778 | MO |
NPI | 1023126893 |
---|---|
Provider Name | Dr. Mark E Mcnemar |
First Address | Galena, KS 66739-4325 |
Second Address | Galena, KS 66739-4325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 30/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I71325 | (02) | MO |