Provider Demographics
NPI:1831308782
Name:SINGER, MARK GARY (M D)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:GARY
Last Name:SINGER
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Gender:M
Credentials:M D
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Mailing Address - Street 1:777 JOSLYN AVE
Mailing Address - Street 2:MC 483-720-420
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2925
Mailing Address - Country:US
Mailing Address - Phone:248-857-0599
Mailing Address - Fax:248-857-8946
Practice Address - Street 1:777 JOSLYN AVE
Practice Address - Street 2:MC 483-720-420
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2925
Practice Address - Country:US
Practice Address - Phone:248-857-0599
Practice Address - Fax:248-857-8946
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2012-03-07
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Provider Licenses
StateLicense IDTaxonomies
MI43010697042083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine