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Individual

MARK A. JONKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2305 GENOA BUSINESS PARK DR STE 120, BRIGHTON, MI 48114
(810) 494-6881
(810) 494-6882
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
258991
MA
208600000X
Surgery Physician
Primary
4301108483
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110099977A
MA
Enumeration date
06/22/2006
Last updated
12/06/2018
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