Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mithilesh J Mishra, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1710977723

Dr. Mithilesh J Mishra, MD is a Plastic and Reconstructive Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Michigan St NE
Grand Rapids, MI 49503-2032
Phone: (616) 454-5278
Fax: (616) 454-4030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MM043037 (MI)

Record details

NPI number1710977723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 21, 2005
Last updated in NPPESOctober 25, 2011

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