Marc Mickiewicz, MD
Emergency Medicine in Nashville, TN. Individual provider (NPI-1).
NPI number1710074828
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1710074828
- Entity type
- Individual (NPI-1)
- Name
- Marc Mickiewicz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 9, 2006
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD37402 | TN | Yes |
Practice location
6746 Charlotte PikeNashville, TN 37209
Phone 615-647-9005
Mailing address
4608 Indiana AveNashville, TN 37209-2328
Phone 615-604-8364
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