Individual
DR. MARY ANN MIKNEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 LOCUST ST STE 409, PITTSBURGH, PA 15219-4738
(412) 232-7608
(412) 281-3536
Mailing address
PO BOX 598, WEXFORD, PA 15090-0598
(412) 622-4314
(412) 622-4882
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD025845E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009352390003
—
PA
Enumeration date
07/12/2005
Last updated
01/20/2022
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