Individual
MARK R. POMARANSKI
Active
Individual
MARK R. POMARANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
43010676697
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702810641
BLUE CROSS BLUE SHIELD
MI
01
—
38-2170687
PRIORITY HEALTH
MI
01
—
M008816
TRICARE
MI
01
—
P00271718
RAILROAD MEDICARE
MI
Enumeration date
08/30/2006
Last updated
06/04/2013
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