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Individual
MRS. SVETLANA M MISHULIN
Active
Individual
MRS. SVETLANA M MISHULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301068674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990014832
RR MEDICARE
MI
01
—
G98045
SELECT CARE
MI
01
—
P103256
BLUE CARE NETWORK
MI
01
—
SM068674
BLUE SHIELD TRUST PPO
MI
Enumeration date
08/28/2006
Last updated
11/20/2025
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