Individual
MARK S HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4014 S RIVER RD, EAST CHINA, MI 48054-2916
(810) 329-6677
(810) 329-5730
Mailing address
43800 GARFIELD RD, CLINTON TWP, MI 48038-1136
(800) 848-0202
(586) 226-6949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4515994
—
MI
Enumeration date
10/17/2005
Last updated
02/11/2011
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