Individual
DR. CHAD R MIKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 557-3333
(513) 557-3332
Mailing address
2831 ASTORIA AVE, CINCINNATI, OH 45208-2303
(248) 790-8623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34008341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2519082
—
OH
Enumeration date
06/27/2005
Last updated
07/08/2007
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