Individual
DR. MARK G TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2070 E HILL RD, GRAND BLANC, MI 48439-5108
(810) 695-5353
(810) 695-0616
Mailing address
2070 E HILL RD, GRAND BLANC, MI 48439-5108
(810) 695-5353
(810) 695-0616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3235931
—
MI
Enumeration date
09/02/2006
Last updated
11/21/2011
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