Novice, Fred Mark
Novice, Fred Mark is an individual health care provider with primary practice located at 4120 West Maple Road Suite 206, Bloomfield Hills MI 48301. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Novice, Fred Mark can be contacted via phone (248) 932-3376.Contact Information
Primary practice address
4120 West Maple Road Suite 206
Bloomfield Hills MI 48301
Phone: (248) 932-3376
Fax: (248) 932-1046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301406190 | Michigan |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 4301406190 | Michigan |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 16422 | Oklahoma |
Profile Details
| NPI number | 1265517635 |
|---|---|
| LBN Legal business name | Novice, Fred Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Oct 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265517635 | NPPES |
| Other | 06392341 | BS |
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