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Individual

DR. LAWRENCE WALTER MYSLIWIEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4660 S HAGADORN RD, SUITE 500, EAST LANSING, MI 48823-5376
(517) 884-4554
(517) 884-4556
Mailing address
4660 S HAGADORN RD, SUITE 500, EAST LANSING, MI 48823-5376
(517) 884-4554
(517) 884-4556

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101007412
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4780803
MI
Enumeration date
08/19/2006
Last updated
01/31/2017
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