MEDICARE: EDWARD MISTLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	OS013290	PA

General Provider Information

NPI Number	:	1386640837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD MISTLER

Provider Business Mailing Address
First Line	:	100 DELAFIELD RD
Second Line	:	MAB #100, STE 101
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 DELAFIELD RD
Second Line	:	MAB #100, STE 101
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3247
Country	:	US
Telephone Number	:	412-784-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/25/2021

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Directions to “ EDWARD MISTLER ” Practice Location

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