Individual
DR. MICHAEL OWEN MUSTY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 PINE BEACH PENINSULA LOOP, EAST GULL LAKE, MN 56401-2027
(218) 330-1139
Mailing address
10710 PINE BEACH PENINSULA LOOP, EAST GULL LAKE, MN 56401-2027
(218) 330-1139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20818
MN
Other
Enumeration date
12/12/2006
Last updated
09/16/2011
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