Whalio Doctors

NPI 1588985923

Mark Favot, MD

Practitioner General Acute Care Hospital Detroit, MI

Practice location

Address
2799 W Grand Blvd, Detroit, MI 48202-2608
Phone
(313) 916-1553

Registered specialties (2)

General Acute Care Hospital Primary
Hospitals Taxonomy 282N00000X Licence 207N00000X (MI)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4301092115 (MI)

Registry record

NPI
1588985923
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2010
Record last updated
17 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.