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Individual

STEVEN MISCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10120 CALUMET AVE STE 103, MUNSTER, IN 46321-4076
(219) 836-2936
(219) 836-2949
Mailing address
2708 N RACINE AVE, CHICAGO, IL 60614-1206
(773) 525-3508

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02000848A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100189270
IN
Enumeration date
06/22/2005
Last updated
08/29/2022
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