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

Mark Stice

Individual provider Emergency Medicine Physician · NPI 1962062406

Mark Stice is an Emergency Medicine in Indianapolis, Indiana. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1120 W Michigan St # CL285
Indianapolis, IN 46202-5209
Phone: (317) 278-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-3456

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 01089719A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962062406
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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