Kaminski, Mark J

Kaminski, Mark J is an individual health care provider with primary practice located at 26850 Providence Pkwy Suite 505, Novi MI 48374-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kaminski, Mark J can be contacted via phone (248) 465-4163.

Contact Information

Primary practice address
26850 Providence Pkwy Suite 505 Novi MI 48374-1213
Fax: (248) 662-4411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301067296 Michigan

Profile Details

NPI number 1366422578
LBN Legal business name Kaminski, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Nov 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366422578 NPPES
Michigan MEDICAID 4494974

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