DR. Mark Favot, M.D.

NPI #1588985923 in Detroit, Michigan

Provider Information

NPI Number: 1588985923
Entity Type: Individual
Name: DR. Mark Favot, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Acute Care Hospital
Credential: M.D.
Enumeration Date: Jun 21, 2010
Last Updated: Jul 17, 2019

Practice Location

Address: 2799 W GRAND BLVD
City: Detroit
State: Michigan
ZIP Code: 48202-2608
Phone: (313) 916-1553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
General Acute Care Hospital	282N00000X	Primary

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