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General NPI Number Information
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NPI Number | 1891740072
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Entity Type | Individual
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Provider Name | MICHAEL MLSNA MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 101 S 4TH ST
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City | ISHPEMING
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State | MI
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Zip | 49849-2151
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Country | US
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Telephone | 906-486-4431
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Fax | 906-485-2504
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Provider Business Mailing Address
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Address Line | 101 S 4TH ST
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City | ISHPEMING
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State | MI
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Zip | 49849-2151
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Country | US
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Telephone | 906-486-4431
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Fax | 906-485-2504
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301050657
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License Number State | MI
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