Kenneth W Mihelich in Rockford - Surgery

Kenneth W Mihelich - NPI 1649374737

Kenneth W Mihelich is a Surgery in Rockford, Illinois. Kenneth W Mihelich practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kenneth W Mihelich is 1649374737. The last update date is 2015-05-13.

Kenneth W Mihelich's current location address is 535 Roxbury Rd, Rockford, Illinois. You can contact this provider via phone number 8153980175 and fax number 8153989587. The mailing address for Kenneth W Mihelich is 535 Roxbury Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth W Mihelich
Address 535 Roxbury Rd, Rockford, Illinois
Phone Number 8153980175
Fax Number 8153989587
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1649374737
Provider Enumeration Date 2006-09-11
Last Updated Date 2015-05-13

Provider Mailing Address Detail

Address 535 Roxbury Rd
City Rockford
State Illinois (IL)
Post Code 611075076
Phone Number 8153980175
Fax Number 8153989587

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 36064793
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20015050 PALMETTO GBA RAILROAD MED
36064793 IL --

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FAQs about Kenneth W Mihelich

What is the unique 10-digit identifier code assigned to Kenneth W Mihelich by the Centers for Medicare & Medicaid Services?

The Kenneth W Mihelich has been issued the NPI (National Provider Identifier) 1649374737 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Kenneth W Mihelich's physical address?

The Kenneth W Mihelich is physically located at 535 Roxbury Rd, in the city of Rockford, IL, with the postal code 611075076.

What is Kenneth W Mihelich's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth W Mihelich's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Kenneth W Mihelich receive its 1649374737 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth W Mihelich was assigned its 1649374737 by the Centers for Medicare & Medicaid Services on 2006-09-11.

As of what date was the information regarding Kenneth W Mihelich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth W Mihelich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-05-13.

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