Most Relevant Information
Provider Data
| NPI Number: | 1003174434 |
| Provider Name: | PAUL MROZEK |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2012 |
| Last Updated: | 04/23/2012 |
Provider Practice Location
19401 NORTHLINE RD
SOUTHGATE
MI
481952277
Practice Location Phone/Fax
| Phone: | 7347857718 |
| Fax: |
Provider Mailing Location
18231 SUMPTER RD
BELLEVILLE
MI
481118722
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |