Miedema, Mark L

Miedema, Mark L is an individual health care provider with primary practice located at 3317 N Wimberly Dr , Fayetteville AR 72703-4056. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Miedema, Mark L can be contacted via phone (479) 521-2752.

Contact Information

Primary practice address
3317 N Wimberly Dr Fayetteville AR 72703-4056
Phone: (479) 521-2752
Fax: (479) 521-4603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13487 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X E-9691 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 49437 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X E-9691 Arkansas

Profile Details

NPI number 1205063211
LBN Legal business name Miedema, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Jul 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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