Individual
DR. MARK HNATIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PARKWAY, SUITE 205, NOVI, MI 48374-1252
(248) 465-5314
(248) 465-5301
Mailing address
26850 PROVIDENCE PARKWAY, SUITE 205, NOVI, MI 48374-1252
(248) 465-5314
(248) 465-5301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301074049
MI
207YS0123X
Facial Plastic Surgery Physician
430107409
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389063649-00
BWC
OH
Enumeration date
12/23/2005
Last updated
06/03/2010
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