Stern, Mark K

Stern, Mark K is an individual health care provider with primary practice located at 2333 Biddle St , Wyandotte MI 48192-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Stern, Mark K can be contacted via phone (313) 284-9400.

Contact Information

Primary practice address
2333 Biddle St Wyandotte MI 48192-4668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 077271 Michigan

Profile Details

NPI number 1699713438
LBN Legal business name Stern, Mark K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 5th, 2008 - about 16 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 1699713438 NPPES
Michigan MEDICAID 4283746
Michigan MEDICAID 4290820
Michigan MEDICAID 4748092
Michigan MEDICAID 4280299
Michigan MEDICAID 4838224
Michigan Other MS077271

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