Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36003448 | OH |
NPI | 1093909657 |
---|---|
Provider Name | Dr. Steve Mirkos |
First Address | Cincinnati, OH 45246-3740 |
Second Address | Milford, OH 45150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 04/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2850204 | (05) | OH |
P004633437 | MEDICARE RR (01) | OH |