Individual
MILA DAVIDOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6115 POWERS BLVD, STE 305, PARMA, OH 44129-5469
(440) 743-2525
(440) 743-2526
Mailing address
6115 POWERS BLVD, STE 305, PARMA, OH 44129-5469
(440) 743-2525
(440) 743-2526
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136489
ANTHEM
—
05
—
0805383
—
OH
01
—
1423902
UNITED MINE WORKERS
—
01
—
2700182
PHS
—
01
—
2780540
UNITED HEALTH CARE
—
01
—
34167855900
BUREAU OF WORKERS COMP
—
01
—
341678559026
CARESOURCE
—
01
—
4211887
AETNA
—
01
—
480011633
MEDICARE RR
—
Enumeration date
12/05/2005
Last updated
03/12/2012
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