Individual
GREGORY MISHICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 428-5406
Mailing address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
54502009968
MI
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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