Individual
DR. MARK PETER MASTROMONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21400 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081-1566
(586) 498-4400
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351046408
MI
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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