Individual
DR. MARK MICHAEL GARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
43996 WOODWARD AVENUE, SUITE 101, BLOOMFIELD HILLS, MI 48302-5028
(248) 332-4544
(248) 332-2716
Mailing address
43996 WOODWARD AVENUE, SUITE 101, BLOOMFIELD HILLS, MI 48302-5028
(248) 332-4544
(248) 332-2716
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780532
—
MI
01
—
P07250003
MEDICARE PTAN
MI
Enumeration date
09/13/2005
Last updated
11/30/2012
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