MARK A. VICTOR D.O. – NPI #1194740175
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MARK VICTOR is a physician located in IRON MOUNTAIN, MI. NPPES has assigned the NPI number 1194740175 to MARK VICTOR on July 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Jul 27, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK VICTOR below.

NPI Profile for
MARK A. VICTOR

NPI Number
1194740175
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK A. VICTOR
Credentials
D.O.
Primary location
325 EAST H STREET
OSCAR JOHNSON VA HOSPITAL IRON MOUNTAIN
IRON MOUNTAIN, MI 49801
Phone: (906) 774-3300 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
MI 5101014570

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.