Individual
MARK LEO MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KRESGE EYE INSTITUTE, 4717 ST ANTOINE, DETROIT, MI 48201
(313) 577-8900
(313) 577-0700
Mailing address
1560 EAST MAPLE ROAD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5976
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054291
MI
Other
Enumeration date
06/01/2006
Last updated
05/18/2016
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