Individual
MARK BORNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1964 11 MILE RD, BERKLEY, MI 48072-3046
(248) 544-9300
(248) 544-1148
Mailing address
1964 W 11 MILE RD, BERKLEY, MI 48072
(248) 544-9300
(248) 544-1148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101026804
MI
Other
Enumeration date
03/24/2019
Last updated
09/25/2023
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