Michael Keith Mietz, PA
NPI #1689944779 in Lakeport, California
Provider Information
- NPI Number
- 1689944779
- Entity Type
- Individual
- Name
- Michael Keith Mietz, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jan 5, 2012
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 925 BEVINS COURT
- City
- Lakeport
- State
- California
- ZIP Code
- 95453-9754
- Phone
- (707) 263-8383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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