Provider Demographics
NPI:1144211129
Name:NEUMANN, MARK T (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:T
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1000
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:1314 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3456
Practice Address - Country:US
Practice Address - Phone:810-342-1700
Practice Address - Fax:810-720-4057
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101008131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI204387OtherHEALTH ADVANTAGE NETWORK
MI2261777OtherCIGNA
MAE26394OtherHEALTH ALLIANCE PLAN
MI0052500440OtherBLUE CROSS BLUE SHIELD
MI020032532OtherMETRAHEALTH
MI0052500440OtherHEALTH PLUS OF MI
MI080D410020OtherBLUE CROSS BLUE SHIELD
MI4073379OtherAETNA
MI080D410020OtherCOMMUNITY BLUE
MIE26394OtherHEALTH NET FEDERAL SERV
MA4380472Medicaid
MIC1596OtherMCARE
MI080D410020OtherBLUE CARE NETWORK
MI080D410020OtherBLUE CROSS POS
MI204387OtherMCLAREN HEALTH PLAN
MI204387OtherMCLAREN HEALTH PLAN
MI080D410020OtherCOMMUNITY BLUE
MI2261777OtherCIGNA