Individual
DR. MARK THOMAS MAKELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2454 HARBOR PETOSKEY RD, PETOSKEY, MI 49770
(231) 347-2511
Mailing address
2454 HARBOR PETOSKEY RD, PETOSKEY, MI 49770
(231) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15051
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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