Komorowski, Mark C

Komorowski, Mark C is an sole proprietor health care provider with primary practice located at 610 S Trumbull Street , Bay City MI 48708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Komorowski, Mark C can be contacted via phone (989) 893-9393.

Contact Information

Primary practice address
610 S Trumbull Street Bay City MI 48708
Phone: (989) 893-9393
Fax: (989) 893-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MK050674 Michigan

Profile Details

NPI number 1407935042
LBN Legal business name Komorowski, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Aug 31st, 2022 - about 3 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 1407935042 NPPES
Michigan MEDICAID 295089810
Michigan Other 0980939
Michigan Other 2400900501

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