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Individual

MARK M KORENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301501682
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
4301501682
MI

Other

Enumeration date
05/28/2015
Last updated
07/01/2020
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