Anthony Miksanek, M.D

NPI 1992760177 · on the registry since 2006

Practice

Address: 203 Bailey Ln
Benton, IL 62812
Phone: (618) 438-3621
Fax: (618) 438-3622
Organisation at this address: Crossroads Physicians Corp
Southern Illinois Medical Services, Nfp
Southern Illinois Medical Services, Nfp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois