Healthcare Provider Details

I. General information

NPI: 1548085178
Provider Name (Legal Business Name): MIVISION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 HAMPTON PL STE 1
SAGINAW MI
48604-8202
US

IV. Provider business mailing address

5310 HAMPTON PL STE 1
SAGINAW MI
48604-8202
US

V. Phone/Fax

Practice location:
  • Phone: 989-321-2655
  • Fax:
Mailing address:
  • Phone: 989-321-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MELANIE LYNN MIHLSTIN
Title or Position: OWNER
Credential: MD
Phone: 810-441-2324