Individual
MIRJON BISHJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 COOPER AVE STE 11, SAGINAW, MI 48602-5373
(989) 583-7090
(989) 583-7091
Mailing address
2799 W GRAND BLVD, HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301117108
MI
2084N0400X
Neurology Physician
Primary
4301105354
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
02/03/2021
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