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:
Health care specialties
| Specialty | Code | License # | 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 16 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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