Kristina Rae Vander Mark in Southfield - Gynecology
Kristina Rae Vander Mark - NPI 1366538860
Kristina Rae Vander Mark is a Gynecology in Southfield, Michigan. Kristina Rae Vander Mark practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Kristina Rae Vander Mark is 1366538860. The last update date is 2022-02-03.
Kristina Rae Vander Mark's current location address is 22255 Greenfield Rd Ste 352, Southfield, Michigan. You can contact this provider via phone number 2488493401 and fax number 2488494106. The mailing address for Kristina Rae Vander Mark is 22255 Greenfield Rd Ste 352, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristina Rae Vander Mark |
|---|---|
| Address | 22255 Greenfield Rd Ste 352, Southfield, Michigan |
| Phone Number | 2488493401 |
| Fax Number | 2488494106 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366538860 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
| Address | 22255 Greenfield Rd Ste 352 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 480753712 |
| Phone Number | 2488493401 |
| Fax Number | 2488494106 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 4301076692 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4789630 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kristina Rae Vander Mark by the Centers for Medicare & Medicaid Services?
The Kristina Rae Vander Mark has been issued the NPI (National Provider Identifier) 1366538860. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kristina Rae Vander Mark's physical address?
The Kristina Rae Vander Mark is physically located at 22255 Greenfield Rd Ste 352, in the city of Southfield, MI, with the postal code 480753712.
What is the Kristina Rae Vander Mark's area of specialization and corresponding taxonomy classification?
The Kristina Rae Vander Mark's specialty field is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1366538860 to Kristina Rae Vander Mark?
The Kristina Rae Vander Mark received its 1366538860 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
When was the information related to Kristina Rae Vander Mark most recently updated or refreshed?
The details pertaining to the Kristina Rae Vander Mark, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY