Individual
DR. MARK D. ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2414 LAKE LANSING RD, LANSING, MI 48912-3618
(517) 371-4712
Mailing address
2414 LAKE LANSING RD., LANSING, MI 48912
(517) 371-4712
(517) 371-3116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MI049353
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2999413
—
MI
Enumeration date
09/14/2006
Last updated
11/24/2010
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