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Organization
JOHN J. MIELKE, O.D. INC.
Active
Organization
JOHN J. MIELKE, O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JEFFREY MIELKE O.D. (OWNER)
(818) 956-8785
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR STE 100, GLENDALE, CA 91205-4437
(818) 956-8785
(818) 956-5367
Mailing address
801 S. CHECY CHASE DRIVE, STE. 100, GLENDALE, CA 91205-4431
(818) 956-8785
(818) 956-5367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10377
CA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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