Individual
MARK BOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
599 LAKE SHORE RD, GROSSE POINTE SHORES, MI 48236-2632
(248) 494-0312
Mailing address
599 LAKE SHORE RD, GROSSE POINTE SHORES, MI 48236-2632
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301505266
MI
Other
Enumeration date
04/27/2017
Last updated
01/21/2022
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