| NPI | 1457302051 |
|---|---|
| Former Legal Business Name | CHARLES MOK, DO |
| Entity Type | Organization |
| Authorized Contact | DEAN RYNKOWSKI Administrative 586-992-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 5101010912) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301096552) |
| 207R00000X Internal Medicine (Licence: MI 5101014643) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: MI 5315053921) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-19 |