Individual
MELANIE ANNE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 909-4236
Mailing address
505 N MILITARY ST, DEARBORN, MI 48124-1191
(313) 909-4236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704369653
MI
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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