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

Mark Mittlestat

Individual provider Pharmacist · NPI 1861970204

Mark Mittlestat is a Pharmacist in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

31320 Five Mile Rd
Livonia, MI 48154-3680
Phone: (734) 427-3430
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302022896 (MI)

Record details

NPI number1861970204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 29, 2018
Last updated in NPPESJuly 29, 2018

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