Individual
DR. MICHAEL F. MIRIOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 752-5469
(641) 844-2205
Mailing address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 752-5469
(641) 844-2205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20186
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145730
—
IA
Enumeration date
10/26/2005
Last updated
08/06/2012
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