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Individual
DINO DANIEL KLISOVIC
Active
Individual
DINO DANIEL KLISOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35078405
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35078405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370725
ANTHEM
OH
05
—
2636731
—
OH
01
—
7846761
AETNA
OH
Enumeration date
09/27/2006
Last updated
04/30/2021
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