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Individual

MARK A KACHADURIAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
27555 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5011
(248) 478-5512
(248) 478-5350
Mailing address
27555 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5011
(248) 478-5512
(248) 478-5350

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101010218
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046952
MI
Enumeration date
07/07/2005
Last updated
07/08/2007
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