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Individual

DR. MARK ALLEN MENESTRINA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12851 E GRAND RIVER, BRIGHTON HOSPITAL, BRIGHTON, MI 48116-8596
(810) 227-1211
(810) 227-6893
Mailing address
17351 INKSTER RD, LIVONIA, MI 48152
(734) 421-7997

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
045529
MI

Other

Enumeration date
04/21/2006
Last updated
07/08/2007
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