Fred Mark Novice
Dermatologist Dermatopathologist
4120 West Maple Road Suite 206
Bloomfield Hills
, Michigan 48301
Fred Mark Novice
Dermatologist Dermatopathologist
4120 West Maple Road Suite 206
Bloomfield Hills
, Michigan 48301
(248) 932-1046
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Fred Mark Novice
- 7456 Paddlewheel Crt
- Bloomfield Hills, MI
- Zip : 48301
- Fax : (248) 932-1046
- Phone : (248) 932-3376
Second Address
- Fred Mark Novice
- 4120 West Maple Road Suite 206
- Bloomfield Hills, MI
- Zip : 48301
- Fax : (248) 932-1046
- Phone : (248) 932-3376
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FAQs
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In what state does Fred Mark Novice practice in?
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Is Fred Mark Novice a sole practitioner?
Is Fred Mark Novice accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 4301406190 | MI |
| Y | 207ND0900X | Dermatopathologist | 4301406190 | MI |
National Provider Identifier
| NPI | 1265517635 |
|---|---|
| Provider Name | Fred Mark Novice |
| First Address | Bloomfield Hills, MI 48301 |
| Second Address | Bloomfield Hills, MI 48301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 04/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06392341 | BS (01) | |
| E43987 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.