MARK D NELLERMOE

Dr MARK D NELLERMOE is a male medical professional, specializing in Podiatry. He graduated in 1981.

Contact

3929 BRIDGEPORT WAY W
SUITE 308
UNIVERSITY PLACE
WA
984664455

Tel:

MARK D NELLERMOE Information

Npi 1386733541
Pac Id 3971795287
Professional Enrollment Id I20101005000882
Last Name NELLERMOE
First Name MARK
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1981
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3929 BRIDGEPORT WAY W
Line 2 Street Address SUITE 308
Marker Of Address Line 2 Suppression
City UNIVERSITY PLACE
State WA
Zip Code 984664455
Phone Number
Hospital Affiliation Ccn 1 500129
Hospital Affiliation Lbn 1 TACOMA GENERAL ALLENMORE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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