Individual provider · Type 1 NPI

Mark Tristan Fucinari, CNIM

Electroneurodiagnostic Specialist/Technologist · Plymouth, MI

NPI number 1639503600 Active

Practice location

45211 Helm St
Plymouth, MI 48170

Fax (480) 777-1345

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1639503600

Mark Tristan Fucinari, CNIM's National Provider Identifier is 1639503600, issued on Aug 27, 2013. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Plymouth, MI. The record was last updated on Sep 18, 2026.