Individual
MARK ROBERT KURZAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36367 HARPER AVE, CLINTON TWP, MI 48035-2958
(586) 791-6868
(586) 791-5071
Mailing address
43750 GARFIELD RD, SUITE 104, CLINTON TWP, MI 48038-1135
(586) 226-6865
(586) 226-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048125
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301048125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4813978
—
MI
05
—
4991915
—
MI
Enumeration date
05/11/2006
Last updated
01/18/2008
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