KRISTINA RAE VANDER MARK

LAKELAND, FL
NPI1366538860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: FL  ME170074)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: MI  4301076692)
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: MI  4301076692)
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: MI  4301076692)
Enumeration Date2006-10-04
Last Update Date2025-02-18
Business Address
KRISTINA RAE VANDER MARK M.D.
1324 LAKELAND HILLS BLVD
LAKELAND, FL 33805-4543
Phone number: 863-284-6860
Mailing Address
KRISTINA RAE VANDER MARK M.D.
22255 GREENFIELD RD STE 352
SOUTHFIELD, MI 48075-3712
Phone number: 248-849-3401