Individual
JOHN-PHILLIP THOMAS MARKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
Mailing address
3170 KETTERING BLVD BLDG B2ND, MORAINE, OH 45439-1924
(937) 991-3191
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35131303
OH
207R00000X
Internal Medicine Physician
Primary
4301506700
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220624
—
OH
Enumeration date
04/24/2014
Last updated
08/14/2023
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