Individual
MICHELLE L MIERZWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DRIVE, B2 FLOOR UNIVERSITY HOSPITAL RM C490, ANN ARBOR, MI 48109-5010
(734) 936-4300
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301092417
MI
2085R0001X
Radiation Oncology Physician
57007630
OH
Other
Enumeration date
05/25/2007
Last updated
06/23/2015
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