| Stuart E Mirvis, MD | |
|
312 Braeburn Glen Ct, Millersville, MD 21108-2413 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Stuart E Mirvis |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 312 Braeburn Glen Ct, Millersville, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538124557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D25956 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart E Mirvis, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Stuart E Mirvis, MD 312 Braeburn Glen Ct, Millersville, MD 21108-2413 Ph: (952) 595-1100 |
Dr. Blaine E Smith, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8601 Veterans Hwy, Suite 100, Millersville, MD 21108 Phone: 410-729-4451 Fax: 410-729-4470 | |
Dr. Jean K Warner, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8601 Veterans Hwy, Suite 100, Millersville, MD 21108 Phone: 410-729-4451 Fax: 410-729-4470 |