Individual
DR. MARK S MEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS ORAL AND MAXILLO
Contact information
Practice address
208 N SHIAWASSEE ST, OWOSSO, MI 48867
(989) 723-3882
(989) 729-1723
Mailing address
208 N SHIAWASSEE ST, OWOSSO, MI 48867
(989) 723-3882
(989) 729-1723
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MM013787
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MM013787
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9757860390
BCBSM
MI
Enumeration date
12/26/2006
Last updated
09/11/2025
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