Mark Henry Eveningred, M.P.T.

NPI #1861592784 in Macomb, Michigan

Provider Information

NPI Number: 1861592784
Entity Type: Individual
Name: Mark Henry Eveningred, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Sep 22, 2006
Last Updated: Oct 16, 2014

Practice Location

Address: 17900 23 MILE RD
Address 2: STE 401
City: Macomb
State: Michigan
ZIP Code: 48044-1161
Phone: (586) 868-9040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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