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Individual

ELEINA MIKHAYLOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 208-4200
(937) 208-2678
Mailing address
6599 WOODBANK DR, BLOOMFIELD HILLS, MI 48301-3036

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
1792788
MI
2084N0400X
Neurology Physician
Primary
35.099772
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0069755
OH
Enumeration date
07/17/2007
Last updated
10/29/2018
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