Individual
DR. ANNE EVELYN MISSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4641 E PICKARD ST, SUITE A, MOUNT PLEASANT, MI 48858-2007
(989) 956-3118
(989) 956-3119
Mailing address
4641 E PICKARD ST, SUITE A, MOUNT PLEASANT, MI 48858-2007
(989) 956-3118
(989) 956-3119
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301043832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538273222
—
MI
Enumeration date
08/18/2006
Last updated
11/11/2015
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