Whalio Doctors

NPI 1023034477

Milan Edward Ivancic, MD

Practitioner Pediatrics Physician Tupelo, MS

Practice location

Address
499 Gloster Creek Vlg Suite H-3, Tupelo, MS 38801-4600
Phone
(662) 840-6026
Fax
(662) 840-6030

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 08988 (MS)

Registry record

NPI
1023034477
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2006
Record last updated
17 Jan 2023

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.