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Kristina Rae Vander Mark, MD
Obstetrics & Gynecology Physician in Southfield, Michigan
NPI 1366538860

Kristina Rae Vander Mark is a Obstetrics & Gynecology Physician based in Southfield, MI. Kristina Rae Vander Mark practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Kristina Rae Vander Mark is 1366538860 and holds a License No. 4301076692 (Michigan).

The current practice location address for Kristina Rae Vander Mark is 22255 Greenfield Rd Ste 352, Southfield, MI and can be reached out via phone at 248-849-3401 and via fax at 248-849-4106.

Location: 22255 Greenfield Rd Ste 352, Southfield, MI, 48075-3712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366538860
Provider Name
Kristina Rae Vander Mark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
22255 Greenfield Rd Ste 352, Southfield, MI, 48075-3712
Phone Number
248-849-3401
Fax Number
248-849-4106
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4789630 05 MI
institution
Provider Business Practice Location Address Details
Address
22255 Greenfield Rd Ste 352
City
Southfield
State
Michigan
Zip
48075-3712
Phone Number
248-849-3401
Fax Number
248-849-4106
person
Provider Business Mailing Address Details
Address
22255 Greenfield Rd Ste 352
City
Southfield
State
Michigan
Zip
48075-3712
Phone Number
248-849-3401
Fax Number
248-849-4106
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
4301076692 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
4301076692 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
4301076692 (Michigan)
Definition
Definition to come...
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