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Dr. Maureen Sue Mietelski, DO

Obstetrics & Gynecology in Frankfort, IL. Individual provider (NPI-1).

NPI number1477567337
StatusActive
Last updated in NPPESDec 9, 2021

Details

NPI
1477567337
Entity type
Individual (NPI-1)
Name
Dr. Maureen Sue Mietelski
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2006
Certification date
Dec 9, 2021
Last updated
Dec 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology036067284ILYes

Practice location

222 Colorado Ave.
Frankfort, IL 60423-1334

Phone 815-469-6646 · Fax 815-469-6647

Mailing address

222 Colorado Ave.
Frankfort, IL 60423-1334

Phone 815-469-6646 · Fax 815-469-6647

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