Individual
MRS. CHARLENE THERESA MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP, BC
Contact information
Practice address
3031 W GRAND BLVD STE 800, DETROIT, MI 48202-3141
(313) 916-2454
Mailing address
505 N MILITARY ST, DEARBORN, MI 48124-1191
(313) 378-2518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704138698
MI
Other
Enumeration date
02/21/2007
Last updated
02/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us