Individual
MARK J MINAUDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 HEALTH PARK BLVD, SUITE D, GRAND BLANC, MI 48439-2558
(810) 424-2011
(810) 249-4037
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
(810) 249-4037
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101017639
MI
Other
Enumeration date
07/02/2006
Last updated
08/27/2015
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