Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALLEN HAGGENJOS, D.O.
ActiveDR. MARK ALLEN HAGGENJOS, D.O. is a Family Medicine healthcare provider located in PORTLAND, Indiana. NPI 1619935475 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORTLAND, IN
Registration Details
- NPI Number
- 1619935475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2006 (20.274414609454 yrs)
- Last Updated
- Jan 8, 2021
- Licenses
-
02001027A (IN)02001027A (IN)02001027A (IN)
Practice Information
- Address
-
428 WEST VOTAW STREETSUITE APORTLAND, IN, 473710710Browse IN providers · Browse ZIP 47371
- Phone
- 2607268822
- Fax
- 2607267857
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PORTLAND, IN
| Name | Credential | NPI |
|---|---|---|
| J FRANK VORMOHR | MD | 1033117726 |
| DR. DAVID C DUNNINGTON | MD | 1700834397 |
| MR. ROBERT BRUCE ELLIOTT II | M.D. | 1437198686 |
| LEONARD J GREEN | MD | 1639299738 |
| STEPHANIE C SHARPE | MD | 1326214198 |
| DR. DANIEL J LIVERA | MD | 1043838543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.