Individual
DR. JOSHUA JAMES MIKSANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 988-6186
Mailing address
PO BOX 1467, INDIANAPOLIS, IN 46206-1467
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.127538
IL
207P00000X
Emergency Medicine Physician
Primary
036127538
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2008
Last updated
09/27/2021
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