Individual
DR. JIMMY MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
93 W FOURTH ST STE B, SUTTONS BAY, MI 49682-8408
(231) 271-2002
Mailing address
93 W FOURTH ST STE B, SUTTONS BAY, MI 49682-8408
(231) 271-2002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301031744
MI
207VG0400X
Gynecology Physician
Primary
4301031744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036581
—
MI
Enumeration date
03/28/2007
Last updated
09/11/2025
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