Individual
DR. MAURIZIO MIRABELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1903 10TH AVE, PORT HURON, MI 48060-3105
(810) 985-3200
(810) 985-3752
Mailing address
1903 10TH AVE, PORT HURON, MI 48060-3105
(810) 985-3200
(810) 985-3752
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901016443
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G41022
BCBS MEDICAL
MI
01
—
190009435
RAILROAD MEDICARE
MI
Enumeration date
03/05/2007
Last updated
06/14/2018
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