| Mark S Devore, MD PC | |
|
22250 Providence Dr 703 Southfield MI 48075-4825 | |
| (586) 751-6034 | |
| (586) 751-6043 |
| Full Name | Mark S Devore, MD PC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 22250 Providence Dr, Southfield, Michigan |
| Authorized Official Name and Position | Mark Devore (PRESIDENT) |
| Authorized Official Contact | 5867516034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Devore, MD PC 22250 Providence Dr 703 Southfield MI 48075-4825 Ph: (586) 751-6034 | Mark S Devore, MD PC 22250 Providence Dr 703 Southfield MI 48075-4825 Ph: (586) 751-6034 |
| NPI Number | 1396923603 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396923603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD048964 (Michigan) | Primary |
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