Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DOUGLAS ENSBERG, MD
ActiveDR. MARK DOUGLAS ENSBERG, MD is a Gastroenterology healthcare provider located in HOLT, Michigan. NPI 1912936527 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · HOLT, MI
Registration Details
- NPI Number
- 1912936527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2006 (20.136415895456 yrs)
- Last Updated
- Jun 12, 2019
- License
-
4301048610 (MI)
Practice Information
- Address
-
5091 WILLOUGHBY RDHOLT, MI, 488421054Browse MI providers · Browse ZIP 48842
- Phone
- 5176942144
- Fax
- 5176946570
- Primary Specialty
-
Gastroenterology
207RG0300X
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.