Individual
MICHAEL MLSNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 486-4431
(906) 485-2504
Mailing address
101 S 4TH ST, ISHPEMING, MI 49849-2151
(906) 486-4431
(906) 485-2504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301050657
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595190
—
MI
01
—
MM050637
BLUE SHIELD
MI
Enumeration date
05/24/2006
Last updated
07/09/2007
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