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

Mark Mishack, MD

Individual provider Nephrology Physician · NPI 1831191485

Mark Mishack, MD is a Nephrology in Clinton Township, Michigan. Qualified in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
38
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

15945 19 Mile Rd Ste 104
Clinton Township, MI 48038-1147
Phone: (586) 228-6603
Fax: (586) 228-6613
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MM062491 (MI)

Record details

NPI number1831191485
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 12, 2005
Last updated in NPPESSeptember 8, 2009
Mailing address15945 19 Mile Rd, Ste 104, Clinton Township, MI 48038-1147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Clinton Township