Individual
DR. ERNEST C MIRICH
Active
Individual
DR. ERNEST C MIRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01018811
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083040
ANTHEM
IN
05
—
100377790
—
IN
01
—
110085078
RAILROAD MEDICARE
IN
01
—
192820H
MEDICARE PART B
IN
01
—
2210201
MEDICARE
IN
01
—
385970A
MEDICARE PART B
IN
Enumeration date
09/23/2005
Last updated
11/25/2019
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