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1255697272
EZRA DAVID MIRVISH
MONROEVILLE, PA
NPI
1255697272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA MD456947)
Enumeration Date
2012-04-03
Last Update Date
2024-10-31
Business Address
Dr. EZRA DAVID MIRVISH M.D.
2790 MOSSIDE BLVD STE 720
MONROEVILLE, PA 15146-2757
Phone number: 412-372-2770
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Mailing Address
Dr. EZRA DAVID MIRVISH M.D.
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 866-630-9882
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