# MARK S FRIEDLAND MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174726434
- **Authorized official:** MARK FRIEDLAND M.D. (PRESIDENT)
- **Authorized official phone:** (248) 828-5707

## Contact information

- **Practice address:** 44199 DEQUINDRE RD, 623, TROY, MI 48085-1128
- **Practice address phone:** (248) 828-5707
- **Practice address fax:** (248) 828-5702
- **Mailing address:** 44199 DEQUINDRE RD, 623, TROY, MI 48085-1128
- **Mailing address phone:** (248) 828-5707
- **Mailing address fax:** (248) 828-5702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | MF064335 | MI | Yes |

## Other

- **Enumeration date:** 06/06/2007
- **Last updated:** 10/30/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0633267 | BLUE CROSS | MI |
| 05 | — | 4634304 | — | MI |