Provider Demographics
NPI:1023489713
Name:ZARANSKI, MARK THOMAS (PHD, DIPLOM, BS,)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:THOMAS
Last Name:ZARANSKI
Suffix:
Gender:M
Credentials:PHD, DIPLOM, BS,
Other - Prefix:
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Mailing Address - Street 1:9501 INDIANAPOLIS BLVD
Mailing Address - Street 2:BLDG 1 SUITE A
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-2664
Mailing Address - Country:US
Mailing Address - Phone:219-595-5529
Mailing Address - Fax:219-513-9273
Practice Address - Street 1:9501 INDIANAPOLIS BLVD
Practice Address - Street 2:BLDG 1 SUITE A
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-2664
Practice Address - Country:US
Practice Address - Phone:219-595-5529
Practice Address - Fax:219-513-9273
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN84000138A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist