Individual
MARK GEORGE MYNSBERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1002 E GRAND RIVER AVE, HOWELL, MI 48843-1718
(517) 546-8701
Mailing address
1019 SPIREA, HOWELL, MI 48843-6822
(810) 938-8367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704202716
MI
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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