Organization
GARY A. MILKOVICH, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALLAN MILKOVICH D.O. (PRESIDENT)
(216) 563-1003
Entity
Organization
Contact information
Practice address
6044 BROADVIEW RD, CLEVELAND, OH 44134-3106
(216) 563-1003
(216) 563-1016
Mailing address
6044 BROADVIEW RD, CLEVELAND, OH 44134-3106
(216) 563-1003
(216) 563-1016
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930827
—
OH
01
—
1457392292
INDIVIDUAL NPI
OH
Enumeration date
12/12/2007
Last updated
03/04/2025
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