Individual
MICHAEL JAMES MOUTSATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858
(989) 953-9777
(989) 773-6267
Mailing address
2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858
(989) 953-9777
(989) 773-6267
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MM014511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4775590
—
MI
Enumeration date
08/31/2006
Last updated
10/03/2008
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