| Mitchel Osman M.d. P.a. | |
|
617 E Broadway St Mt Pleasant MI 48858-2727 | |
| (989) 773-6300 | |
| (989) 772-9001 |
| Full Name | Mitchel Osman M.d. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 617 E Broadway St, Mt Pleasant, Michigan |
| Authorized Official Name and Position | Mitchel Osman (PRESIDENT) |
| Authorized Official Contact | 9897736300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchel Osman M.d. P.a. 617 E Broadway St Mt Pleasant MI 48858-2727 Ph: (989) 773-6300 | Mitchel Osman M.d. P.a. 617 E Broadway St Mt Pleasant MI 48858-2727 Ph: (989) 773-6300 |
| NPI Number | 1780942201 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780942201 | NPI | - | NPPES |
| 2659805 | Medicaid | MI | |
| 2603700772 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301056574 (Michigan) | Primary |
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