Individual
DR. VINOD K MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3950 BEAUBIEN ST, DETROIT, MI 48201-2120
(734) 832-9122
Mailing address
3950 BEAUBIEN ST, DETROIT, MI 48201-2120
(734) 832-9122
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4301079084
MI
208000000X
Pediatrics Physician
4301079084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4572490
—
MI
Enumeration date
08/08/2006
Last updated
10/01/2012
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