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Individual
DR. PAUL MARK
Active
Individual
DR. PAUL MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4301057958
MI
207V00000X
Obstetrics & Gynecology Physician
01040767A
IN
Other
Enumeration date
06/03/2006
Last updated
02/26/2021
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