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Individual

DR. JOSEPH W MASHNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1625 RAMBLEWOOD DR, EAST LANSING, MI 48823-6367
(517) 324-3705
(517) 324-4589
Mailing address
2175 COOLIDGE RD, EAST LANSING, MI 48823-1379
(517) 324-3705

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
JM040634
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1000637
MCLAREN
05
103487901
MI
01
200000002020
PHYSICIAN HEALTH PLAN
01
340015751
MEDICARE RAILROAD
01
340C376010
BLUE CROSS BLUE SHIELD
01
C2199
MCARE
Enumeration date
10/04/2006
Last updated
01/14/2014
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