Individual
DR. MARK WAYNE SHATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
33505 W 14 MILE RD, SUITE 70, FARMINGTON HILLS, MI 48331-1588
(248) 661-3300
(248) 661-9209
Mailing address
33505 W 14 MILE RD, SUITE 70, FARMINGTON HILLS, MI 48331-1588
(248) 661-3300
(248) 661-9209
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6301005043
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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