Individual
DR. MICHAEL MIANECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
51190 D W SEATON DR, CHESTERFIELD, MI 48047-1457
(586) 725-9898
(586) 725-4470
Mailing address
51190 D W SEATON DR, CHESTERFIELD, MI 48047-1457
(586) 725-9898
(586) 725-4470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12534
MI
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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