Individual
DR. DEBASISH MRIDHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4705 TOWNE CTR, SUITE 201, SAGINAW, MI 48604-2818
(989) 799-2770
(989) 799-2737
Mailing address
4705 TOWNE CENTRE RD STE 201, SAGINAW, MI 48604-2821
(989) 799-2770
(989) 799-2737
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DM066728
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104695041
—
MI
Enumeration date
06/25/2006
Last updated
01/10/2024
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