Mitchell Edward Mleziva

NPI #1104315050 in Mequon, Wisconsin

Provider Information

NPI Number
1104315050
Entity Type
Individual
Name
Mitchell Edward Mleziva
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
May 7, 2018
Last Updated
May 7, 2018

Practice Location

Address
12800 N LAKE SHORE DR
City
Mequon
ZIP Code
53097-2418
Phone
(262) 243-4414

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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