Individual
MARK ANDREW KWARTOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2300 HAGGERTY RD, SUITE 1110, WEST BLOOMFIELD, MI 48323-2184
(248) 669-2000
(248) 669-2110
Mailing address
PO BOX 74008434, CHICAGO, IL 60674-8434
(248) 669-2000
(248) 669-2110
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013112
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007061580
AETNA PIN
MI
01
—
0F33953
BCBS
MI
01
—
203208200
DEPT. OF LABOR WORKERS COMP
MI
01
—
H78204
HAP
MI
Enumeration date
06/21/2006
Last updated
07/19/2016
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