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Individual

DR. MARK CHRISTOPHER WOLANIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
33065 BORDMAN RD, RILEY, MI 48041-4309
(810) 392-3186
(810) 392-3186
Mailing address
33065 BORDMAN RD, RILEY, MI 48041-4309
(810) 392-3186
(810) 392-3186

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13676
MI

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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