Pomaranski, Mark R.

Pomaranski, Mark R. is an individual health care provider with primary practice located at 550 Munson Ave, Suite 200 , Traverse City MI 49686. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Pomaranski, Mark R. can be contacted via phone (231) 935-8717.

Contact Information

Primary practice address
550 Munson Ave, Suite 200 Traverse City MI 49686
Phone: (231) 935-8717
Fax: (231) 935-9230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 43010676697 Michigan

Profile Details

NPI number 1962511097
LBN Legal business name Pomaranski, Mark R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 4th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962511097 NPPES
Michigan Other 38-2170687 PRIORITY HEALTH
Michigan Other 0702810641 PRIORITY HEALTH
Michigan Other P00271718 PRIORITY HEALTH
Michigan Other M008816 PRIORITY HEALTH

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