Individual
MR. MARK BOMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31700 VAN DYKE AVE, SUITE 190, WARREN, MI 48093-7949
(586) 276-8040
(586) 276-8039
Mailing address
31700 VAN DYKE AVE, SUITE 190, WARREN, MI 48093-7949
(586) 276-8040
(586) 276-8039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025030
MI
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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