MARK HENRY EVENINGRED

MACOMB, MI
NPI1861592784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501005092)
Enumeration Date2006-09-22
Last Update Date2014-10-16
Business Address
-- MARK HENRY EVENINGRED M.P.T.
17900 23 MILE RD STE 401
MACOMB, MI 48044-1161
Phone number: 586-868-9040
Mailing Address
-- MARK HENRY EVENINGRED M.P.T.
48675 AMERICAN ELM DR
MACOMB, MI 48044-1429
Phone number: 586-263-4910