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Individual

MISHUN DELIESE CHILDS-LOVE

Active
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Individual

MISHUN DELIESE CHILDS-LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., PH.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35.081724
OH
207L00000X
Anesthesiology Physician
Primary
4301060250
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500910292
BCBS
MI
Enumeration date
07/27/2006
Last updated
01/07/2014
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