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Michael J Mirro, MD
Geriatric Medicine (Internal Medicine) Physician in Fort Wayne, Indiana
NPI 1053303222

Michael J Mirro is a Geriatric Medicine (Internal Medicine) Physician based in Fort Wayne, IN and is specialized in Geriatric Medicine. Michael J Mirro practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Michael J Mirro is 1053303222 and holds a License No. 01025414A (Indiana).

The current practice location address for Michael J Mirro is 11108 Parkview Circle Dr, Fort Wayne, IN and can be reached out via phone at 260-266-5700 and via fax at 260-266-5920.

Location: 11108 Parkview Circle Dr, Fort Wayne, IN, 46845-1712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053303222
Provider Name
Michael J Mirro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11108 Parkview Circle Dr, Fort Wayne, IN, 46845-1712
Phone Number
260-266-5700
Fax Number
260-266-5920
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100138540 05 IN
000000641091 01 IN ANTHEM
060070554 01 IN RR MEDICARE
0509079 05 OH
P00782366 01 IN R.R. MEDICARE
institution
Provider Business Practice Location Address Details
Address
11108 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1730
Phone Number
260-266-5700
Fax Number
260-266-5920
person
Provider Business Mailing Address Details
Address
11108 Parkview Circle Dr
City
Fort Wayne
State
Indiana
Zip
46845-1730
Phone Number
260-266-5700
Fax Number
260-266-5920
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
01025414A (Indiana)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
01025414A (Indiana)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
01025414A (Indiana)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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