Individual
DR. MAZEN MISLMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7442
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7442
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301096631
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2010
Last updated
10/15/2015
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