Dr. Greg M Mielke, M.D.
Specialist in Goshen, IN. Individual provider (NPI-1).
NPI number1366484099
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1366484099
- Entity type
- Individual (NPI-1)
- Name
- Dr. Greg M Mielke
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Oct 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 01034860A | IN | Yes |
Practice location
1111 Lighthouse LnGoshen, IN 46526-3824
Phone 574-533-0348 · Fax 574-533-0277
Mailing address
3926 New Vision DrFort Wayne, IN 46845-1712
Phone 260-266-8210 · Fax 260-458-5636
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Other Specialist providers in Goshen, IN
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- Cynthia S. Creighton, M.S., OtrNPI 1033385992
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- Min Yan, M.D.NPI 1699877431
All 6 Specialist providers in Goshen · All 1,111 providers in Goshen
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