Organization
MARK MIKHAEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M MIKHAEL M.D. (PRESIDENT)
(818) 841-3936
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE, SUITE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5974
Mailing address
2625 W ALAMEDA AVE, SUITE 116, BURBANK, CA 91505-4806
(818) 841-3936
(818) 841-5974
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
A105078
CA
Other
Enumeration date
07/24/2013
Last updated
06/20/2016
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