Organization
MARK S DEVORE, MD PC
Active
Organization
MARK S DEVORE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DEVORE MD (PRESIDENT)
(586) 751-6034
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, 703, SOUTHFIELD, MI 48075-4825
(586) 751-6034
(586) 751-6043
Mailing address
22250 PROVIDENCE DR, 703, SOUTHFIELD, MI 48075-4825
(586) 751-6034
(586) 751-6043
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD048964
MI
Other
Enumeration date
02/08/2008
Last updated
08/20/2014
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