Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 35.121501 | OH |
NPI | 1437392164 |
---|---|
Provider Name | Mikhenan Horvath |
First Address | Beachwood, OH 44122-4329 |
Second Address | Sandusky, OH 44870-5390 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2009 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0086330 | (05) | OH |