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

Mark David Imwalle, MD

Individual provider Diagnostic Radiology Physician · NPI 1740284538

Mark David Imwalle, MD is a Diagnostic Radiology Physician in Fairfield, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
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

3000 Mack Rd
Fairfield, OH 45014-5335
Phone: (513) 870-7024
Fax: (513) 965-8091
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35031812I (OH)

Record details

NPI number1740284538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESFebruary 25, 2008
Mailing addressPo Box 42417, Cincinnati, OH 45242-0417

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