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Individual

MARK PRESSPRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19117 ALLEN RD STE A, BROWNSTOWN TWP, MI 48183-1066
(734) 676-4040
(734) 676-9897
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-7960

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301511048
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194288944
MI
01
4301511048
MI MEDICAL LICENSE
MI
Enumeration date
04/09/2019
Last updated
09/13/2024
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