Individual
DINO DANIEL KLISOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6655 POST RD, DUBLIN, OH 43016-8214
(614) 339-8500
(614) 339-8501
Mailing address
6655 POST RD, DUBLIN, OH 43016-8214
(614) 339-8500
(614) 339-8501
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35078405
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35078405
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370725
ANTHEM
OH
05
—
2636731
—
OH
01
—
7846761
AETNA
OH
Enumeration date
09/27/2006
Last updated
04/30/2021
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