Individual
MR. MARK C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2301 S HURON PKWY STE 1C, ANN ARBOR, MI 48104-5133
(734) 262-5106
Mailing address
2301 S HURON PKWY STE 1C, ANN ARBOR, MI 48104-5133
(734) 262-5106
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L916043
MI
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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