MARK E. HARDWICK
Managed Care Organizations at Main St, Bruce, MI

License number
Michigan 11564
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. MARK EDGAR HARDWICK D.D.S.
Title: GENERAL DENTIST
Phone: (586) 752-6586
Address
Address
218 S Main St, Bruce, MI 48065
National Provider ID: 1295898906
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK E. HARDWICK, D.D.S., PC

Bruce, MI

Registration:
Aug 21, 1979
Addresses:
218 S Main St, Romeo, MI 48065 (Physical)
Michigan (Mailing)
State ID:
207264
Business type:
Domestic Professional Service Corporation
Agent:
Mark E. Hardwick, D.d.s

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