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Individual

DR. MARK P. KARCHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2455 UNION LAKE RD, SUITE 101, COMMERCE TOWNSHIP, MI 48382-3554
(248) 360-6000
(248) 360-6040
Mailing address
PO BOX 674852, DETROIT, MI 48267-4852
(248) 360-6000
(248) 360-6040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MK008912
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0156336445
BCBS
MI
05
113028319
MI
01
P00095533
RAILROAD MEDICARE
Enumeration date
10/05/2006
Last updated
11/11/2014
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