Individual provider · Type 1 NPI

Mark Mazenko

Technician/Technologist · Madison, TN

NPI number 1659075802 Active

Practice location

600 Rothwood Ave Apt B9
Madison, TN 37115-4936

Call (256) 527-8721 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

About NPI 1659075802

Mark Mazenko's National Provider Identifier is 1659075802, issued on Mar 29, 2023. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Madison, TN. The record was last updated on Mar 29, 2023.