DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MITHILESH J MISHRA, MD

Active Sole Proprietor

DR. MITHILESH J MISHRA, MD is a Plastic and Reconstructive Surgery healthcare provider located in GRAND RAPIDS, Michigan. NPI 1710977723 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · GRAND RAPIDS, MI

Registration Details

NPI Number
1710977723
Provider Type
Individual
Gender
Female
NPI Issued
Oct 21, 2005 (20.828942102739 yrs)
Last Updated
Oct 25, 2011
License
MM043037 (MI)
Sole Proprietor
Yes

Practice Information

Address
1400 MICHIGAN ST NE
GRAND RAPIDS, MI, 495032032
Browse MI providers · Browse ZIP 49503
Phone
6164545278
Fax
6164544030
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in GRAND RAPIDS, MI

Name Credential NPI
WILLIAM T CULLEN MD 1518916535
RONALD D FORD MD 1558310912
DR. JOHN ALAN GIROTTO M.D. 1417984162
EWA D KOMOROWSKA-TIMEK MD 1710996319
MR. JOHN J IACOBUCCI M.D. 1689761439
DR. ANDREA EMMA VAN PELT M.D. 1285756148
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.