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

Mena Misiak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871295261

Mena Misiak is a Student in an Organized Health Care Education/Training Program in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

6530 Farmington Rd
West Bloomfield, MI 48322-3216
Phone: (248) 661-4100
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301516935 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871295261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2023
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

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