Individual
MILTON MIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35061127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812900
—
OH
01
—
363422
ANTHEM BCBS
OH
Enumeration date
04/04/2006
Last updated
03/18/2008
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