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Individual

MARK JOSEPH REMMLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
601 JOHN ST, BRONSON TRAUMA DEPARTMENT, BOX 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244
Mailing address
601 JOHN ST, BOX 67, KALAMAZOO, MI 49007-5341
(269) 341-6022
(269) 341-8244

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005591
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548493240
MI
01
2053900680
BCBS
MI
Enumeration date
08/27/2009
Last updated
11/27/2023
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