Medel, Mark S

Medel, Mark S is an individual health care provider with primary practice located at 208 N Shiawassee St , Owosso MI 48867. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Medel, Mark S can be contacted via phone (989) 723-3882.

Contact Information

Primary practice address
208 N Shiawassee St Owosso MI 48867
Phone: (989) 723-3882
Fax: (989) 729-1723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X MM013787 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MM013787 Michigan

Profile Details

NPI number 1427113042
LBN Legal business name Medel, Mark S
Credentials DDS ORAL AND MAXILLO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 18 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 1427113042 NPPES
Michigan Other 9757860390 BCBSM

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