Individual
MARK STEVEN OSTAHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 WEST WACKERLY STREET, MIDLAND, MI 48640
(989) 839-9937
Mailing address
920 WEST WACKERLY STREET, MIDLAND, MI 48640
(989) 839-9937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MO048872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0560795
BLUE PIN
MI
05
—
1802371
—
MI
01
—
OE66012002
PPI
MI
Enumeration date
10/03/2006
Last updated
07/21/2022
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