Provider Demographics
NPI:1477997484
Name:SEKULIC, MIROSLAV (MD)
Entity Type:Individual
Prefix:DR
First Name:MIROSLAV
Middle Name:
Last Name:SEKULIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVENUE
Mailing Address - Street 2:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:804-677-1280
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER, PTH 5077
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-4410
Practice Address - Country:US
Practice Address - Phone:804-677-1280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-20
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.134562207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology