Mark Packert CCP

NPI 1093108698 - Perfusionist - 242T00000X

NPI Details
NPI 1093108698
Gender Male
Enumeration Date 03/06/2015
Last Updated 03/06/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
31330 SCHOOLCRAFT RD
STE 200
LIVONIA MI, 48150-2041, US
Phone (734) 525-9712
Fax
Business Location
31330 SCHOOLCRAFT RD
STE 200
LIVONIA MI, 48150-2041, US
Phone (734) 525-9712
Fax
Toxanomy
Taxonomy Code 242T00000X
License State
License Number
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According to our database, Mark Packert CCP NPI is 1093108698, taxonomy code is 242T00000X Mark Packert CCP physically located at 31330 Schoolcraft Rd, Livonia MI, 48150-2041. NPI Number Mark Packert CCP has the Individual type.

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1093108698 NPI number is provided on an as is basis without warranty of any kind. 1093108698 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Packert CCP are for informational purposes only.