Mustonen, Sylvia G

Mustonen, Sylvia G is an individual health care provider with primary practice located at 10809 Mack Ave , Detroit MI 48214-2119. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mustonen, Sylvia G can be contacted via phone (313) 824-1000.

Contact Information

Primary practice address
10809 Mack Ave Detroit MI 48214-2119
Phone: (313) 824-1000
Fax: (313) 824-9000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007658 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003956A Indiana

Profile Details

NPI number 1306848619
LBN Legal business name Mustonen, Sylvia G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 17th, 2018 - about 6 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 1306848619 NPPES
Wisconsin MEDICAID 34008500
Wisconsin MEDICAID 1306848619

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