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NPI Code Detail

MEDICARE: DR. MIROSLAV SEKULIC M.D.

MEDICARE: DR. MIROSLAV SEKULIC M.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35.134562OH

General Provider Information

NPI Number : 1477997484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIROSLAV SEKULIC M.D.
Provider Business Mailing Address
First Line : 11100 EUCLID AVENUE
Second Line : UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
City : CLEVELAND
State : OH
Zip : 44106
Country : US
Telephone Number : 804-677-1280
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVENUE
Second Line : UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
City : CLEVELAND
State : OH
Zip : 44106-4410
Country : US
Telephone Number : 804-677-1280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2013
Last Update Date : 04/07/2020

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