Organization
MITCHEL OSMAN M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHEL OSMAN M.D. (PRESIDENT)
(989) 773-6300
Entity
Organization
Contact information
Practice address
617 E BROADWAY ST, MT PLEASANT, MI 48858-2727
(989) 773-6300
(989) 772-9001
Mailing address
617 E BROADWAY ST, MT PLEASANT, MI 48858-2727
(989) 773-6300
(989) 772-9001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301056574
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603700772
BLUE CROSS BLUE SHIELD
MI
05
—
2659805
—
MI
Enumeration date
05/03/2012
Last updated
05/03/2012
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