| Mark S Medel Dds Pc | |
|
208 N Shiawassee St Owosso MI 48831 | |
| (989) 723-3882 | |
| (989) 729-1723 |
| Full Name | Mark S Medel Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 208 N Shiawassee St, Owosso, Michigan |
| Authorized Official Name and Position | Mark S Medel (OWNER) |
| Authorized Official Contact | 9897233882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Medel Dds Pc 208 N Shiawassee St Owosso MI 48831 Ph: (989) 723-3882 | Mark S Medel Dds Pc 208 N Shiawassee St Owosso MI 48831 Ph: (989) 723-3882 |
| NPI Number | 1598951055 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598951055 | NPI | - | NPPES |
| 9757860390 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | MM13787 (Michigan) | Primary |
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