Provider Demographics
NPI:1942395488
Name:KORTEPETER, MARK GREGORY (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:GREGORY
Last Name:KORTEPETER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1114 CHURCHVIEW PLACE
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854
Mailing Address - Country:US
Mailing Address - Phone:301-610-7321
Mailing Address - Fax:202-782-3765
Practice Address - Street 1:6900 GEORGIA AVENUE BLDG 2 WARD 63
Practice Address - Street 2:WALTER REED AMC; DIVISION OF INFECTIOUS DISEASES
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-8721
Practice Address - Fax:202-782-3765
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
HIMD-7145207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease