Individual
PAMELA B MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601
(231) 775-6521
(231) 876-6519
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301073966
MI
208000000X
Pediatrics Physician
Primary
4301073966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4630440
—
MI
Enumeration date
11/13/2006
Last updated
11/17/2022
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