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Contact Information

MARK R POMARANSKI, MD
550 MUNSON AVE, SUITE 200
TRAVERSE CITY, MI49686
 Phone: 231-935-8717
 Fax: 231-935-9230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARK R POMARANSKI · (Male)

NPI Number 1962511097
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 06/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 43010676697
  • MI Other 0702810641 BLUE CROSS BLUE SHIELD
  • MI Other 38-2170687 PRIORITY HEALTH
  • MI Other P00271718 RAILROAD MEDICARE
  • MI Other M008816 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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