Individual
MIHAL D ROSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-1459
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
410745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201350
—
OH
Enumeration date
09/01/2016
Last updated
12/27/2017
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