Mark J Micciche, DPM
NPI #1336195031 in Scranton, Pennsylvania
Provider Information
- NPI Number
- 1336195031
- Entity Type
- Individual
- Name
- Mark J Micciche, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist
- Credential
- DPM
- Enumeration Date
- May 25, 2006
- Last Updated
- Aug 21, 2020
Practice Location
- Address
- 1800 MULBERRY ST
- City
- Scranton
- State
- Pennsylvania
- ZIP Code
- 18510-2369
- Phone
- (570) 703-8146
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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