NPI 1003267303

Samantha Mishra, DO

Practitioner Student in an Organized Health Care Education/Training Program Jackson, MI

Practice location

Address: 205 N East Ave, Jackson, MI 49201-1753
Phone: (517) 788-4800
Fax: (517) 817-7050

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003267303
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2016
Record last updated: 28 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.