Individual
DR. MICHAEL EDWARD IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6946
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-6946
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME124651
FL
Other
Enumeration date
11/18/2009
Last updated
06/27/2024
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