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1972555308
MARK TRAILL
WYOMING, MI
NPI
1972555308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036076940)
Enumeration Date
2006-05-16
Last Update Date
2019-05-02
Business Address
MARK TRAILL MD
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Phone number: 616-252-7159
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Mailing Address
MARK TRAILL MD
5900 BYRON CENTER AVE SW MEDICAL ADMINISTRATION
WYOMING, MI 49519-9606
Phone number: 616-252-3243
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