James D. Mickle Jr. MD
NPI #1003013244 in Boyertown, Pennsylvania
Provider Information
- NPI Number
- 1003013244
- Entity Type
- Organization
- Organization Name
- James D. Mickle Jr. MD
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Jul 29, 2010
Practice Location
- Address
- 137 MONTGOMERY AVE
- Address 2
- SUITE 203
- City
- Boyertown
- State
- Pennsylvania
- ZIP Code
- 19512-1300
- Phone
- (610) 369-2050
Authorized Official
- Name
- DR. JAMES D MICKLE JR., MD
- Title
- OWNER
- Phone
- (610) 369-2050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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