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1508393984
MITCHELL MISIAK
LIVONIA, MI
NPI
1508393984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008190)
Enumeration Date
2017-05-17
Last Update Date
2017-05-17
Business Address
MITCHELL MISIAK PA
36622 FIVE MILE RD
LIVONIA, MI 48154-1900
Phone number: 586-261-2080
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Mailing Address
MITCHELL MISIAK PA
27472 SCHOENHERR RD STE 140
WARREN, MI 48088-6681
Phone number: 586-439-6268
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