Individual
DR. MARIANO M IBERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, SUITE 450, MIAMISBURG, OH 45342-3908
(937) 439-3600
(937) 439-3786
Mailing address
PO BOX 933242, CLEVELAND, OH 44193-0035
(937) 439-3600
(937) 439-3786
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-058725
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-0558725
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35-058725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293507
—
OH
Enumeration date
07/16/2006
Last updated
08/26/2020
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