Individual
DR. LISA MUSGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
124 S BENZIE BLVD, BEULAH, MI 49617-8546
(231) 882-9683
(231) 882-5192
Mailing address
124 S BENZIE BLVD, P.O. BOX 378, BEULAH, MI 49617-8546
(231) 882-9683
(231) 882-5192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010441A
IN
122300000X
Dentist
2901021135
MI
Other
Enumeration date
04/09/2007
Last updated
09/16/2015
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