Individual
DR. TIMOTHY JOHN MICKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-2459
(412) 359-8233
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-2459
(412) 359-8233
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
MD434566
PA
Other
Enumeration date
06/09/2009
Last updated
10/06/2020
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