Individual provider · Type 1 NPI

Mark Adam Durham, MD, PhD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1386493732 Active

Practice location

4260 Plymouth Rd # LEVEL2
Ann Arbor, MI 48109-2700

Mailing address

1200 E Hospital Dr D3230
Ann Arbor, MI 48109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351052163 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386493732

Mark Adam Durham, MD, PhD's National Provider Identifier is 1386493732, issued on May 17, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on May 17, 2024.