Individual
DR. MICHAEL MEDOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
53 14TH ST, SUITE 102, WHEELING, WV 26003-3433
(304) 232-2140
(304) 232-4760
Mailing address
53 14TH ST, SUITE 102, WHEELING, WV 26003-3433
(304) 232-2140
(304) 232-4760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2513
WV
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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