Individual
DR. MARK BARRY SCHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1777 AXTELL DR, SUITE 102, TROY, MI 48084-4404
(248) 822-6200
(248) 822-6100
Mailing address
1777 AXTELL DR, SUITE 102, TROY, MI 48084-4404
(248) 822-6200
(248) 822-6100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301043733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160029855
RAILROAD MEDICARE
MI
01
—
1606352880
BCBS OF MICHIGAN
MI
01
—
203482523
TAX IDENTIFICATION
MI
01
—
MS043733
MEDICAL LICENSE
MI
Enumeration date
10/17/2006
Last updated
03/07/2023
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