Individual
DR. MANDELL TONY BOOKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 W KING ST, SUITE 202, OWOSSO, MI 48867-2116
(989) 723-1529
(989) 723-3507
Mailing address
818 W KING ST, SUITE 202, OWOSSO, MI 48867-2116
(989) 723-1529
(989) 723-3507
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MB035646
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802101
—
MI
Enumeration date
08/09/2006
Last updated
10/14/2014
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