Misra, Dwijen C

Misra, Dwijen C is an individual health care provider with primary practice located at 44199 Dequindre Rd Ste 412, Troy MI 48085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Misra, Dwijen C can be contacted via phone (248) 879-5590.

Contact Information

Primary practice address
44199 Dequindre Rd Ste 412 Troy MI 48085
Phone: (248) 879-5590
Fax: (248) 879-6912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301406835 Michigan

Profile Details

NPI number 1538140843
LBN Legal business name Misra, Dwijen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated May 2nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538140843 NPPES
Michigan Other 0P52490 PTANGROUP
Michigan Other 1376624031 PTANGROUP
Michigan Other 0P52490002 PTANGROUP
Michigan MEDICAID 2787190 PTANGROUP
Michigan Other 1538140843 PTANGROUP

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