Individual
DR. CHARLES C MIRAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 284-7795
(765) 741-2905
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 254-6200
(765) 741-5601
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
01044095
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01044095
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026718
M-PLAN
IN
01
—
000000255389
BLUE CROSS & BLUE SHIELD
IN
01
—
1686
PHYSICIAN HEALTH PLAN
IN
05
—
2099563
—
OH
Enumeration date
02/05/2007
Last updated
09/11/2025
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