Individual
DR. MARK JOHN SANITATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3160 GRATIOT BLVD, MARYSVILLE, MI 48040-1488
(810) 364-5520
(810) 364-6545
Mailing address
140 MACOMB PL, MOUNT CLEMENS, MI 48043-5651
(586) 468-7370
(586) 468-7682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003258
MI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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