| Dr Gerald A Mihok Inc | |
|
6911 Bridgewood Dr Youngstown OH 44512-5102 | |
| (330) 726-0318 | |
| (330) 726-1268 |
| Full Name | Dr Gerald A Mihok Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6911 Bridgewood Dr, Youngstown, Ohio |
| Authorized Official Name and Position | Gerald A Mihok (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 3307260318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald A Mihok Inc 6911 Bridgewood Dr Youngstown OH 44512-5102 Ph: (330) 726-0318 | Dr Gerald A Mihok Inc 6911 Bridgewood Dr Youngstown OH 44512-5102 Ph: (330) 726-0318 |
| NPI Number | 1346556172 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 09/02/2010 |
| Medicare PECOS PAC ID | 3971627548 |
|---|---|
| Medicare Enrollment ID | O20100903000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346556172 | NPI | - | NPPES |
| 0480779 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34-00-2405 (Ohio) | Primary |
| Provider Name | Gerald Albert Mihok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891874210 PECOS PAC ID: 1052435625 Enrollment ID: I20100903000020 |
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