Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK MISHACK, MD
Active Sole ProprietorMARK MISHACK, MD is a Nephrology healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1831191485 is currently active in the NPPES registry. Verify at CMS.
Nephrology · CLINTON TOWNSHIP, MI
Registration Details
- NPI Number
- 1831191485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (21.030367583615 yrs)
- Last Updated
- Sep 8, 2009
- License
-
MM062491 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15945 19 MILE RDSTE 104CLINTON TOWNSHIP, MI, 480381147Browse MI providers · Browse ZIP 48038
- Phone
- 5862286603
- Fax
- 5862286613
- Primary Specialty
-
Nephrology
207RN0300X
Other Nephrology Providers in CLINTON TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| DR. EVA SAHA | M.D. | 1023117025 |
| HEATHER M STAMAT | DO | 1952524787 |
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.