Dwight Mielke

NPI #1083018634 in Louisville, Kentucky

Provider Information

NPI Number: 1083018634
Entity Type: Individual
Name: Dwight Mielke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 10, 2014
Last Updated: Oct 10, 2014

Practice Location

Address: 6801 DIXIE HWY
Address 2: SUITE 136
City: Louisville
State: Kentucky
ZIP Code: 40258-3913
Phone: (502) 933-4327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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