Individual
DR. JOHN A. MIHALEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1423 N. JEFFERSON, #B100, SPRINGFIELD, MO 65802-1917
(417) 269-8825
(417) 269-8744
Mailing address
3800 S. NATIONAL AVE, STE. 540, SPRINGFIELD, MO 65807-5284
(417) 269-8825
(417) 269-8744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6581
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17677
BLUE CROSS MO
—
05
—
200946614
—
MO
Enumeration date
05/20/2006
Last updated
01/15/2013
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