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Individual
DR. MARK FAVOT
Active
Individual
DR. MARK FAVOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301092115
MI
282N00000X
General Acute Care Hospital
Primary
207N00000X
MI
Other
Enumeration date
06/21/2010
Last updated
07/17/2019
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