Individual
MARK J KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 505, NOVI, MI 48374-1213
(248) 465-4163
(248) 662-4411
Mailing address
26850 PROVIDENCE PKWY, SUITE 505, NOVI, MI 48374-1213
(248) 465-4163
(248) 662-4411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067296
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4494974
—
MI
Enumeration date
01/23/2006
Last updated
11/10/2015
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