Provider Demographics
NPI:1083978282
Name:LINZER, MARK R (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:R
Last Name:LINZER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7467 RIDGE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3118
Mailing Address - Country:US
Mailing Address - Phone:410-468-5050
Mailing Address - Fax:410-768-7830
Practice Address - Street 1:7467 RIDGE RD STE 140
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-3118
Practice Address - Country:US
Practice Address - Phone:410-468-5050
Practice Address - Fax:410-768-7830
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01580213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist