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Individual

MARK M. MITROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Mailing address
7000 STONEWOOD DR STE 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD044629E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011906250006
PA
01
113744
HEALTH AMERICA/ASSURANCE
PA
01
1500498
GATEWAY HEALTH PLAN
PA
01
1825514A
UPMC FOR YOU
PA
01
2203168
AETNA HMO
PA
01
250010707
PALMETTO GBA
PA
01
252183
UPMC HEALTH PLAN
PA
01
4230999
AETNA PPO
PA
01
593151
HIGHMARK
PA
01
72441
MEDPLUS
PA
Enumeration date
08/12/2005
Last updated
02/05/2016
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