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Individual
DR. MAXIM V MIROVSKI
Active
Individual
DR. MAXIM V MIROVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101840366
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689797847
—
VA
01
—
P00414462
RAILROAD MEDICARE
VA
Enumeration date
04/10/2007
Last updated
11/05/2007
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