Individual
DR. MARK TIMOTHY ORTOLANI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
8328 BELLE BLUFF DR, GRAND BLANC, MI 48439-8890
(772) 342-3999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301115419
MI
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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