Mishack, Mark

Mishack, Mark is an sole proprietor health care provider with primary practice located at 15945 19 Mile Rd Ste 104, Clinton Township MI 48038-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mishack, Mark can be contacted via phone (586) 228-6603.

Contact Information

Primary practice address
15945 19 Mile Rd Ste 104 Clinton Township MI 48038-1147
Phone: (586) 228-6603
Fax: (586) 228-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MM062491 Michigan

Profile Details

NPI number 1831191485
LBN Legal business name Mishack, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Sep 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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