Whalio Doctors

NPI 1003226051

Mario Mitkov, MD

Practitioner Dermatology Physician Greensboro, NC

Practice location

Address
3107 Brassfield Rd STE 300, Greensboro, NC 27410-2074
Phone
(336) 545-8133
Mailing address
1450 Professional Park Dr STE 150, Winston Salem, NC 27103-1307

Registered specialties (5)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2019-00501 (NC)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101266560 (VA)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME124757 (FL)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 2019-00501 (NC)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0101266560 (VA)

Registry record

NPI
1003226051
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Apr 2014
Record last updated
9 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.