Individual provider · Type 1 NPI
Keili Ann Mistovich, MD
Student in an Organized Health Care Education/Training Program · South Euclid, OH
NPI number
1760748651
Active
Practice location
2054 South Green Rd., Senders Pediatrics
South Euclid, OH 44121
Fax (216) 291-9422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in South Euclid
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- Danielle Monique AcostaStudent in an Organized Health Care Education/Training Program South Euclid, OH NPI 1447312608
- Meghan DoreyStudent in an Organized Health Care Education/Training Program South Euclid, OH NPI 1578078283
About NPI 1760748651
Keili Ann Mistovich, MD's National Provider Identifier is 1760748651, issued on Apr 5, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Euclid, OH. The record was last updated on Oct 13, 2016.