IndividualActive
David Mark, MD
NPI 1770587339 · Gastroenterology Physician · South Bend, IN
Provider details
- NPI number
- 1770587339
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01037623A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17501 Generations Dr
South Bend, IN 46635-1589
Phone: (574) 000-0000
Fax: (574) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
10466 Woodchuck Ct
Granger, IN 46530-6029
Registry dates
- Enumerated
- 2005-06-10
- Last updated
- 2016-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.