Individual
DR. DWIJEN C MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44199 DEQUINDRE RD, STE 412, TROY, MI 48085
(248) 879-5590
(248) 879-6912
Mailing address
44199 DEQUINDRE RD, STE 412, TROY, MI 48085
(248) 879-5590
(248) 879-6912
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301406835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P52490
PTANGROUP
MI
01
—
0P52490002
PTAN
MI
01
—
1376624031
NPIGROUP
MI
01
—
1538140843
NPI
MI
05
—
2787190
—
MI
Enumeration date
11/14/2005
Last updated
05/02/2008
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