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Dr. Mithilesh J Mishra, MD
Plastic and Reconstructive Surgery Physician in Grand Rapids, Michigan
NPI 1710977723

Mithilesh J Mishra is a Plastic and Reconstructive Surgery Physician based in Grand Rapids, MI and is specialized in Plastic and Reconstructive Surgery. Mithilesh J Mishra practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Mithilesh J Mishra is 1710977723 and holds a License No. MM043037 (Michigan).

The current practice location address for Mithilesh J Mishra is 1400 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-454-5278 and via fax at 616-454-4030.

Location: 1400 Michigan St Ne, Grand Rapids, MI, 49503
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Provider Profile Details
NPI Number
1710977723
Provider Name
Mithilesh J Mishra
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1400 Michigan St Ne, Grand Rapids, MI, 49503
Phone Number
616-454-5278
Fax Number
616-454-4030
Provider Enumeration Date
10/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1540509 05 MI
institution
Provider Business Practice Location Address Details
Address
1400 Michigan St Ne
City
State
Zip
49503-2032
Phone Number
616-454-5278
Fax Number
616-454-4030
person
Provider Business Mailing Address Details
Address
1400 Michigan St Ne
City
State
Zip
49503-2032
Phone Number
616-454-5278
Fax Number
616-454-4030
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
MM043037 (Michigan)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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