Ronald F Miciak, M.D.

NPI #1235179052 in Twin Falls, Idaho

Provider Information

NPI Number: 1235179052
Entity Type: Individual
Name: Ronald F Miciak, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: M.D.
Enumeration Date: Jun 8, 2006
Last Updated: May 3, 2019

Practice Location

Address: 801 POLE LINE RD W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5810
Phone: (208) 814-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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