Individual
DOMINIC ERNEST MISIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44725 GRAND RIVER AVE STE 104, NOVI, MI 48375-1024
(517) 882-3732
Mailing address
44725 GRAND RIVER AVE STE 104, NOVI, MI 48375-1024
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101026126
MI
Other
Enumeration date
03/23/2019
Last updated
11/29/2023
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