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Individual

DR. MARK E WOLOWIEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
29877 TELEGRAPH RD STE L-12, SOUTHFIELD, MI 48034-7657
(248) 352-7722
Mailing address
6400 TELEGRAPH RD SUITE 1500, BLOOMFIELD HILLS, MI 48301
(248) 855-0824
(248) 855-0873

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MI14173
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
382614385
12
MI
Enumeration date
05/15/2007
Last updated
04/09/2018
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