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General NPI Number Information
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NPI Number | 1548257249
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Entity Type | Individual
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Provider Name | STEVEN C MISZKIEWICZ MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 1500 W ICE LAKE RD
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City | IRON RIVER
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State | MI
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Zip | 49935-8509
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Country | US
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Telephone | 906-265-5378
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Fax | 906-265-5378
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Provider Business Mailing Address
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Address Line | 301 EXPLORER ST
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City | GWINN
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State | MI
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Zip | 49841-2813
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Country | US
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Telephone | 906-481-8586
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Fax | 906-265-4245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD14419
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14419
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301512874
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License Number State | MI
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