NPI

Mark Gregory Iszak

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
PsyD
Type
Individual
Enumeration date
2011-09-09
Last updated
2018-09-20

Specialties

Licenses

License IL
071008523
License MI
6301014853

Location

Practice location
30150 Telegraph Rd Ste 245
City
Bingham Farms MI
Postal code
48025
Phone
(800) 693-1916

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Bingham Farms, MI. 2,715 records in the public file.

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