Individual
MR. MITCHEL OSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
617 E BROADWAY, MT PLEASANT, MI 48858
(989) 773-6300
(989) 772-9001
Mailing address
617 E BROADWAY, MT PLEASANT, MI 48858
(989) 773-6300
(989) 772-9001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603700772
BCBSM
—
05
—
2659805
—
MI
Enumeration date
10/23/2006
Last updated
09/28/2011
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