Individual
MR. MARK E. MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
901 MEMORIAL RD, HOUGHTON, MI 49931-2475
(906) 482-9404
(906) 483-0269
Mailing address
901 MEMORIAL RD, HOUGHTON, MI 49931-2475
(906) 482-9404
(906) 483-0269
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704196786
MI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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