Individual
MATTHEW MISIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 691-8646
Mailing address
12745 S SAGINAW ST # 806-196, GRAND BLANC, MI 48439-2437
(248) 691-8646
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301511666
MI
Other
Enumeration date
04/12/2021
Last updated
09/23/2024
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