Mark Charles Wortman D.D.S.

NPI 1467546192 - Dentist - 1223G0001X

NPI Details
NPI 1467546192
Gender Male
Enumeration Date 10/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8136 21 MILE RD.
SHELBY TWP MI, 48317, US
Phone (586) 726-0606
Fax (586) 726-1523
Business Location
8136 21 MILE RD.
SHELBY TWP MI, 48317, US
Phone (586) 726-0606
Fax (586) 726-1523
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901017296
Remove 1467546192 NPI Number
 

According to our database, Dr. Mark Charles Wortman D.D.S. NPI is 1467546192, taxonomy code is 1223G0001X and license number is 2901017296, license state is located at Michigan. Mark Charles Wortman D.D.S. physically located at 8136 21 Mile Rd., Shelby Twp MI, 48317. NPI Number Mark Charles Wortman D.D.S. has the Individual type.

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1467546192 NPI number is provided on an as is basis without warranty of any kind. 1467546192 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Charles Wortman D.D.S. are for informational purposes only.