Individual
ANDREW J MISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9445 N STRAITS HWY, CHEBOYGAN, MI 49721-9069
(231) 627-7201
(231) 627-7036
Mailing address
4048 CEDAR BLUFF DR STE 2, PETOSKEY, MI 49770-8895
(231) 347-9300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501301754
LICENSE
MI
Enumeration date
01/19/2022
Last updated
01/19/2022
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