Individual
MARK A RASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17880 FARMINGTON RD, LIVONIA, MI 48152-3104
(248) 615-7300
(248) 615-7333
Mailing address
17880 FARMINGTON RD, LIVONIA, MI 48152-3104
(248) 615-7300
(248) 615-7333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101010225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119718-11
—
MI
Enumeration date
01/18/2006
Last updated
01/17/2022
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