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Individual

MICHAEL P MESAROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463
Mailing address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301026069
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0G30089
BCBSM GROUP ID
01
0G36036
MEDICARE GROUP ID
01
1427090976
GROUP NPI
05
4156171
MI
01
CA3610
RAILROAD MEDICARE
Enumeration date
09/19/2005
Last updated
03/17/2018
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