DR. Michael Owen Musty SR., MD

NPI #1700947082 in East Gull Lake, Minnesota

Provider Information

NPI Number: 1700947082
Entity Type: Individual
Name: DR. Michael Owen Musty SR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Dec 12, 2006
Last Updated: Sep 16, 2011

Practice Location

Address: 10710 PINE BEACH PENINSULA LOOP
City: East Gull Lake
State: Minnesota
ZIP Code: 56401-2027
Phone: (218) 330-1139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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