Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark A Dittenbir, MD

Individual provider Vascular Surgery Physician · NPI 1942249727

Dr. Mark A Dittenbir, MD is a General Surgery in Kalamazoo, Michigan. Graduated from Michigan State University College of Human Medicine in 1984, 42 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
42
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

601 John St Ste M283A
Kalamazoo, MI 49007-5341
Phone: (269) 349-7696
Fax: (269) 488-8313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301048692 (MI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 4301048692 (MI)

Record details

NPI number1942249727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESMay 1, 2018
Mailing address601 John St, Suite M283a, Kalamazoo, MI 49007-5341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1984 (42 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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